CyberSEED 2017
Student Registration
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Choose Competition *

Competition describes can be found on the CyberSEED wesbite.

 
Enter College/University *

 
Enter Team Name *

 
Enter Name of Faculty Advisor *

 
Enter {{answer_t137}}'s Email *

 
Enter Name of Team Captain *

 
Choose Year in School *

Year in School for {{answer_CusL}}

 
Enter Name for 2nd Team Member *

Teams must have 2-4 members.
 
Enter Email Address for {{answer_X7d6}} *

 
Choose Year in School *

Year in School for {{answer_X7d6}}

 
Enter Name for 3rd Team Member

Leave blank if team only has two members
 
Enter Email Address for {{answer_duKN}}

Leave blank if team only has two members.
 
Choose Year in School

Year in School for {{answer_duKN}}. Leave blank if team only has two members.

 
Enter Name for 4th Team Member

Leave blank if team has only two or three members.
 
Enter Email Address for {{answer_kLzB}}

Leave blank if team has only two or three team members.
 
Choose Year in School

Year in School for {{answer_kLzB}} Leave blank if team has only two or three team members.

 
By checking this box, you attest that all of your team members are students of the school entered in this form and that they all agree to receive emails from CyberSEED and that their images may be used in promotional material. *


 
How did you hear about CyberSEED? *


 
By checking this box, you are indicating that you have read and will adhere to the CyberSEED Code of Conduct *

Thank you for registering for CyberSEED 2017!
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