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YouthCaN 2005 - REGISTRATION FORM
REGISTRATION DEADLINE March 28, 2005!
Event Date: April 11, 2005
Please print clearly
Contact Person:____________________________________________
Name of school or organization: ________________________________________________________
Street Address:____________________________________________
City: _______________________ State/Province: _________________
Zip/Postal Code:__________ Country: __________________________
Telephone: __________________________ Fax:_______________________________
E-mail Address:____________________@_______________________
Age range of students: ______________ - ________________ years
1. How many representatives do you wish to register?
Total number of: Students_______ Advisors________
(1 advisor for every 10 students is required)
2. Workshop Registration:
-- Groups of more than 12 students are restricted to attending theatrical
presentations or large audience presentations (indicated by **). You may
split your large group into smaller subgroups for other workshops.
-- Enter the number of students you would like to place in each workshop.
-- You may submit multiple applications to accommodate all of your students,
up to a MAXIMUM of 90 students per school.
Each student can register for two of the three workshop sessions. Students may attend a third workshop if space permits.
Go to http://www.youthcanworld.org/confs/nycconf/ycwslist05.html for an up-to-date list of workshops. New workshops may be added, or some may cancel or become full.
Enter the number of students you would like to register for each workshop in the blanks below.
Column 1 is for your first choice, column 2 is for your second choice in case your first choice is full.
Session 1
___ ___ Species Become Extinct due to human abuse Ages: 6-18 **
___ ___ US and Jordanian:Technology for the Environment Ages: 14-19 **
___ ___ Alternative Sources of Energy: Solar and Wind Ages: 8-15
___ ___ Solar Sleuths Two Ages: 9-12
___ ___ Fabulous Environmental Folk tales of Indigenous Cultures Ages: 8-15 **
___ ___ YouthCaN Mediterranean - Video Conference Ages: Any
___ ___ The Playgrounds are Alive with the Sound of Poetry Ages: 10-18
___ ___ Save the Cat - Its worth all that! Ages: 8-12
Session 2
___ ___ Discover NY/NJ Harbor's Hidden Urban Estuary's. Ages: 6-17 **
___ ___ Voyage ( Volunteer of Youth Project) Ages: Any **
___ ___ Paper Making!!! Ages: Any
___ ___ Growing Connections Ages: 9-11
___ ___ Changing a Community's Culture through Recycling Ages: 10-18 **
___ ___ Present Past and Future of the Monarch Butterly Ages: 12-18
___ ___ A Tale of Two Forests Ages: 12-15
___ ___ DolphinLab Ages: 11-18
Session 3
___ ___ Exploring Oysters in the Hudson-Raritan Estuary Ages: 9-15 **
___ ___ It's Gettin' Hot in Here Ages: 12-18 **
___ ___ Beyond Oil Ages: 14-18
___ ___ How pollution affects water Ages: 8-17
___ ___ Global Art: A Sense of Caring Ages: 10-30
___ ___ New York is for the Birds Ages: 7-12
3. Do you have a project(s) that you would like to display? If so, please describe your display:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Please submit this application via e-mail, postal mail, or fax, as soon as possible!
E-mail: youthcan@us.iearn.org (This is the preferred method, to obtain an e-mail version of this form send a blank e-mail to <youthcan-info@us.iearn.org>.)
YouthCaN - Registration
Education Department
American Museum of Natural History
Central Park West at 79th Street
New York, NY 10024-5192
Fax: (212) 769-5329
Information/Inquiries: <youthcan@us.iearn.org> or (212) 769-5039. Inquiries Only! Applications will NOT be accepted by phone.
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