Future Tech Registration-Demonstrators or Others

Title

Mr.

Ms.

Mrs.

Dr.

First Name

Last Name

Email

Phone Number

School,Organization,Company

Tshirt Size

small

medium

large

extralarge

Please provide the title of your demonstration(s)

Demonstration Requirements-Please indicate any needs you have for your demonstration(s):

I have no additional needs at this time

I need two 6-foot tables

I prefer a classroom

I need to be near a water source

I need a power strip or be near an electrical outlet

other

Most demonstrators will have 15 minutes per demonstration (which includes clean-up and new set-up time). Between Demonstrators will see 8-10 groups of students with 6-8 students in each group. Demonstrators will be provided with one 6 foot rectangular table. Some demonstrators will be placed in a classroom (depending on space).

If OTHER, please state your reason for participating (guest, observer, sponsor, etc)