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Registration Form for the MOUSE Squad Meet-up

Please fill out and submit this registration form for attendance at the MOUSE Squad of California Meet-up for Elementary and Middle School Students from S.F., Marin and San Mateo Counties.

Date: Tuesday, February 28, 2012
Time: 10:00 am - 2:30 pm
Location: Children's Creativity Museum, 221 4th Street, San Francisco, CA 94103
Number of Students: Approximately 100 students (first come, first served)
Lunch will be provided

Registration Form

Your Name:
First
Last
Your Grade:
Today's Date (mm/dd/yy):
Your School's Name:
Your Email Address:
Your Home Phone
(with Area Code):

  1. Please indicate your 1st and 2nd choices for the workshop you would like to attend (see descriptions below).

                                           

    Claymation
    Workshop

    Description: Students will create a short animated film highlighting their MOUSE Squad (limit 30 students)

    Prerequisite: Students must prepare their stories, characters and media BEFORE Meet-up
    Music Video
    Workshop

    Description: Students will create a short music video highlighting their MOUSE Squad (limit 30 students)

    Prerequisite: Students must prepare scripts, lyrics, choreography and media BEFORE Meet-up
    Tech Innovation Workshop

    Description: Students will invent a product to assist with their MOUSE Squad (limit 30 students)

    Prerequisite: Bring your creativity and invention cap!
    Game Design Workshop

    Description: Students will design an interactive game using Scratch (limit 24 students)

    Prerequisite: Complete a game design template and create an account on http://scratch.mit.edu/signup

  2. Please select your sandwich preference.

  3. Please select one.

  4. Please indicate you drink choice.

  5. Please select your T-shirt size (these are adult sizes).

  6. Please enter this Validation Number.

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