Workshop Registration

School Information

*School Name
*School Phone Number


Teacher Information

*Home Address
*Home Phone
Home Email
School Email
FAX Number
Workshop of Interest (Subject/Date)
Best Way to Contact You (please include times)
Please list all of the courses that you teach. Be sure to include the subject, number of students and if the course is considered to be “Advanced”. Advanced is any second year course i.e. 2nd year of chemistry:
Please provide us with a copy of your schools calendar and bell schedule. As soon as it is available also forward a copy of your personal bell schedule.
Either email or send to:
Westminster Science in Motion
Box 41, Westminster College
New Wilmington, PA 16172-0001.

*Enter the text shown in the box before submitting: