2008 - 2009

School Registration Form for

Philadelphia Future City Competition

Mail Check for Registration Fee to:

Philadelphia Future City Competition

c/o John Kampmeyer, P.E.

150 Saxer Avenue

Springfield, PA 19064-0248

Work Phone: (610) 328-3020

FAX - 610-328-2339

Email:

Your $25 will register your school for the Future City Competition. You will receive the "Teacher/Volunteer Handbook" and one copy of the SimCity 3000 software.

Registration begins now and closes on October 31, 2008.

Payment: Make checks payable to: Philadelphia Regional Future City Competition

Save this document to your computer (as your school name) then send it to

Then send your check via U.S. mail with a print out of this form.

School Name:
School Mailing Address
City / State / Zip Code
School Phone / School FAX
Teacher / (Mr. Ms. Dr) / First Name / Last Name:
Teacher E-mail (required)

I plan to work with the following format:

Classroom or group

Approx number of students: ______

OR

Multiple three student teams

Approx. number of teams ______

Grade Level ____ 7th grade _____ 8th grade __ ___ 7th and 8th mixed

Select what type of SimCity Software you will require:

IBM/DOS (CD-ROM)

MAC (CD-ROM)

I already have an engineer mentor to work with the team

Engineer / (Mr. Ms. Dr) / First Name / Last Name
Engineers Company
City / State / Zip Code
Work Phone / Home Phone
Email
Technical Society