Puget Sound Section

Climate Registration

Form #005
Please register for the 2013 Climate Change Communication Workshop by completing the following information. Registration may be limited to 2-3 per institution, depending on the number of registrants for the event. Questions marked with a * are required.  I am a(n)
undergraduate student
graduate student
high school teacher
college faculty
industrial chemist
other
*Are you a member of the American Chemical Society? (non-members can attend as space allows)
yes
no
I am an undergraduate non-member
*In the afternoon session I will work on the
Interactive activity (games for families and children)
Presentation to community groups
Other (please choose one of the projects above. It you have another project, describe it below.)

The Puget Sound Chemist