Maryland Engineering Challenge Web Registration 2007
Baltimore Museum of Industry


Please indicate all the Engineering Challenges in which your students will be participating: [File a separate registration for each class team - note - only complete teacher/sponsor information on the first registration submitted]
Elementary School Theme Park Div. 1 (Gr. 4)
Elementary School Theme Park Div. 2 (Gr. 5)
Elementary School Theme Park Div. 1 (Gr. 4)
Elementary School Paper Airplane Grade 1
Elementary School Paper Airplane Grade 2
Elementary School Paper Airplane Grade 3
Elementary School Paper Airplane Grade 4
Elementary School Paper Airplane Grade 5
Elementary School Safe Racer Div. 1 ( Gr. 1 & 2)
Elementary School Safe Racer Div. 2 ( Gr. 3 )
Middle School Future City ( Gr. 7 & 8 )
Middle School Mars Rover ( Autonomous )
Middle School Hovercraft
Middle School Maglev
Middle School Historic Aircraft
Middle School Recycling
Middle School Straw Bridge
High School Wood Bridge
High School Mars Rover 9 Autonomous )
High School Mars Rover 9 Teleoperation )
High School Bio-Manuafacturing
High School Cargo Ship
High School Robot ( 2 Leg )
High School Robot ( 4 Leg )
High School Cargo Airplane


Teacher/Sponsor First Name:


Teacher/Sponsor Middle Int.:


Teacher/Sponsor Last Name:


Teacher/Sponsor School System or County/City Location:


School/Organization Street Mailing Address:


School/Organization Street Mailing Address [Line 2]:


School/Organization Street Mailing Address - City:


School/Organization Street Mailing Address - State:


School/Organization Street Mailing Address - Zip:


School/Organization - Phone Number:


School/Organization - Fax Number:


Contact Cell Phone Number [Not required]:


Teacher/Sponsor Email Address:


Student Team Participant #1:


Student Team Participant #2: [For Challenges with team requirements]


Student Team Participant #3: [For Challenges with team requirements]


Student Team Participant #4: [For Challenges with team requirements]


Student Team Participant #5: [For Challenges with team requirements]


Student Team Participant #6: [For Challenges with team requirements]


What is the name of the student engineering team that will be participating?


Would "you" be interested in professional development regarding the implementation of the Engineeing Challenge activity?
Yes
No

Prepared by: HMS

BMI/MCCTES 8/06


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