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Registration Form

Step 1 of 3

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• Account Information

• Team Name*
  This will be your Team’s username (used to log into your account) as well as how Administrators will refer to your Team.
• Account Email*
  Enter Email Confirm Email
  You will need one unique email connected with your Team’s account. This will only be used for account creation and password resets. If you are a Team Leader registering multiple Teams, you will need to use a different email to create each account, but may include your preferred email for contact information in the next section.
• Password (case sensitive)*
  Enter Password Confirm Password
  Strength indicator
• In what category will you be entering? (Chose One)*
  • Mitigating the Effects of Climate Change
  • Resource Preservation

• Team Leader Information

  The Team Leader must be an adult (19 years or older) willing to supervise the participation of the students. Parents, teachers, club advisors, or any other adult may serve as Team Leader.
• Title*
  Mr.Ms.
• Given Name*
• Surname/Family Name*
• Email Address*
  Enter Email Confirm Email
• Phone Number*
  including country code
• *
  • As Team Leader, I have read The Clean Tech Competition Official Rules and Regulations and agree that my Team and I will comply.

• School/Organization Information

• What school/organization is this Team representing?*
• School/Organization Mailing Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country

• How many students are on this Team?*
  123

• Team Member 1 Information

• Title*
  Mr.Ms.
• Given Name*
• Surname/Family Name*
• Email*
  Enter Email Confirm Email
• Phone Number
  including country code
• Age on final event date (July 18, 2019):*
  15161718
• *
  • A parent/guardian of this Team Member consents to this student's participation in the competition and agrees to comply with The Clean Tech Competition Official Rules and Regulations.

• Team Member 2 Information

• Title*
  Mr.Ms.
• Given Name*
• Surname/Family Name*
• Email*
  Enter Email Confirm Email
• Phone Number
  including country code
• Age on final event date (July 18, 2019):*
  15161718
• *
  • A parent/guardian of this Team Member consents to this student's participation in the competition and agrees to comply with The Clean Tech Competition Official Rules and Regulations.

• Team Member 3 Information

• Title*
  Mr.Ms.
• Given Name*
• Surname/Family Name*
• Email*
  Enter Email Confirm Email
• Phone Number
  including country code
• Age on final event date (July 18, 2019):*
  15161718
• *
  • A parent/guardian of this Team Member consents to this student's participation in the competition and agrees to comply with The Clean Tech Competition Official Rules and Regulations.

• Prize Check Information

  The following information will only be used if your Team is eligible for a prize. Please ensure that the person/institution you list is authorized and willing to accept the money on behalf of the Team, and will distribute it appropriately. Prize checks will not be distributed until August 2019, so please plan accordingly. This information cannot be altered past the Registration Deadline (March 12, 2019 at 4:00pm EST).
• Make check payable to*
• Mail check to the attention of*
• Mail check to the following address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country

• How did you learn about the 2019 Clean Tech Competition?

• *
  • I was directly emailed by cleantech@cstl.org.
  • I found the website through an internet search.
  • I was referred by someone.
  • I read about it on a website.
  • Other
• Please explain:*

Interested in receiving important updates and reminders about the competition?
Email cleantech@cstl.org to be included in future mailings.