middle school registration

Registration is limited to the first 200 participants.

Conference registration is $15 (non-refundable) per participant, which includes a light breakfast, three sessions, lunch, a t-shirt, and a souvenir bag. Participants must attend the conference to receive a bag and shirt.

Once you have completed the entire form below and select the submit button, you will be taken to a summary page.  Please follow the directions and then you will be automatically redirected to PayPal for payment.  Once in PayPal you may check out as a guest (with credit card) or use your PayPal login.  Within the following week, you will receive an email confirmation of registration with additional details regarding the conference.

For questions about scholarships or registration, call (806) 318-8426 or email wiseamarillo@gmail.com. 

Student Name *
Student Name
Grade *
Birthdate *
Birthdate
Have you attended WISE before? *
Shirt Size (ladies fit) *
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Approval *
Each child will get the opportunity to participate in several activities relating to a variety of professional fields. Some activities may include the use of a sharp-edged or cutting instruments, such as scalpels. All activities will be under close and direct supervision. In order for your child to participate in the hands-on activities, you must check the box below.
Parent/Guardian Cell Phone *
Parent/Guardian Cell Phone
Emergency Contact Number