Regional Qualifier Application

Regional Competition On-line Registration Form

Competing School Information
Name of School: *
School Level *
School Address: *
Qualification District: *
Testing Center: *
Contact Name: *
Contact E-Mail: *
Contact Phone Number: *
Number of Teams (5 students per team): *

A non-refundable registration fee of $50.00 is required for each team entered into the regional competition. The fee must be received at least one week prior to regional competition day. If you want to enter more than one team you may combine the regional competition registration fees.

All checks must be made out to Student Astronaut Challenge. We do not accept credit card or purchase orders. Remember registration fees are non-refundable.

Mail To:
Student Astronaut Challenge
3551 Blairstone Rd.
Suite 128-103
Tallahassee, Fl. 32301

For more information, questions or concerns contact Peter Carafano at: