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Binghamton University Summer Microelectronics Camp Registration

Student's name (First Last)

*

Student's grade in the fall (8, 9, or 10)

*

Student's school district

*

Please list any food allergies

If transportation is needed, please select pickup location

If transportation is needed, please select pickup location

A

Binghamton High School

B

Union-Endicott High School

C

Vestal High School

Parent/guardian name

*

Parent/guardian email address

*

Parent/guardian phone number

*

*

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