Registration Form

To take part in the 2018 Wisconsin Crystal Growing Competition, please complete the form below. Registration closes at 9:00 pm on February 20, 2018.

Select the contest you wish to enter:

Your Name*

First Last

Lab Partner #1 Name (if applicable)

First Last

Lab Partner #2 Name (if applicable)

First Last

Teacher's Name*

First Last

Teacher's Email*

School Name*

School Address*

Street Address Address Line 2 City State ZIP Code

Materials

All participants are eligible for 100g of free crystallization material. It will be sent to your teacher or parent.

Confirmation*

I will inform my teacher or parent that Dr. Guzei will contact him/her in order to supply the crystallization material.

Comments

This field is for validation purposes and should be left unchanged.