FIRST NATIONS LAUNCH
AISES Chapter High Powered Rocket Competition
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Notice of Intent to Participate in Launch
To Be Filled Out by the Faculty Mentor
Salutation:
Pick One - Optional
Mr
Mrs
Ms
Dr
First:
*
Middle:
Last:
*
Street:
*
City:
*
State:
Pick One
WI
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
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ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
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VA
WA
WV
WY
*
Zip: (11111-1111 format)
*
Zip Lookup
Email:
* Confirm Email:
*
Phone (no spaces/dashes/etc):
*
School:
*
Which competition(s) do you plan to compete in?
Pick One
Tribal
AISES
Both
*
Team Name (if known):
Questions or Comments: