Southwest Georgia Regional Model Bridge Building Competition

 

Registration Form

 

 

School Name: _______________________________________

 

Teacher: _______________________________ Size of T-Shirt Preferred: _______

 

Team Members:

 

Name                                                              Grade Level                 Size of T-Shirt Preferred

 

1. _____________________________            ______                  ___________

 

2. _____________________________            ______                  ___________

 

3. _____________________________            ______                  ___________

 

 

Mailing Address:

Street Address: _____________________________

City:                   _____________________________

Zip Code:           _____________________________

 

Phone No.:        ______________________

Fax Number:     ______________________

E-mail Address: ______________________

 

 

 

Please mail the above form along with a check for $15 registration fee drawn in favor of Georgia Space Grant Consortium to:

 

Atin Sinha PhD, P.E.

Professor and Coordinator of Engineering

Albany State University

504 College Dr

Albany, GA 31705

 

Phone: 229-430-4820

e-mail: atin.sinha@asurams.edu

 

 

Teams are limited to three students. A separate registration form and fee are required for each bridge entered in the competition.