Institute

Register Here

First Name

Last name

Email

Phone

City

For each student registering for the educational workshop program:

(Grades 4 and up)

Name
Age
Full date of birth
Grade
T-shirt size

For each attendee age 17 and under:

Name
Age
Full date of birth
Grade

For each attendee age 18 and over:

Driver's license number with State the license was issued in
Full date of birth
Phone number
Email Address

For each car driving onto base:

Car Tag Number and State
Color of the car
Make of the car
Model of the car
Year of the car

If purchasing additional t-shirts for $25 each, please list the quantity and sizes here:

Does your student have an IEP and need a parent to stay during the NASA educational program please click here:

Yes

I understand this program is non-refundable, however tickets may be transferred to another eligible participant. I understand that my tickets are not held until payment is received in full. I understand that I must provide the required information above to be granted access to the Space Force Base.