Date: Saturday, October 18, 2008

Time: 8:00 am — 4:00 pm

Eligibility: All interested high school students

Fee: $10 ($15 late) — Nonrefundable (Bring Cash or Check Payable to: “Vietnamese Student Association” with you on Saturday, October 18, 2008. Fee covers breakfast, lunch, speaker, t-shirts, supplies, etc. and will only be refunded if no space is available for student)

Application Deadline: Wednesday, October 1, 2008 (Limited Space—Please apply ASAP!)

Location: Rice University, 6100 Main St., Houston, TX 77005

The form below will send an e-mail to ricevsa2008@gmail.com with the information you supply. Alternatively, you can directly send an e-mail to that address with the below information (i.e. copy and paste the info). All fields below are required.

First name:
Last name:
Address (line 1):
Address (line 2):
City: State: Zip code:
Date of birth: (MM/DD/YYYY format)
E-mail address:
Phone Number:
T-shirt size:
High school:
Grade:
Have you attended this
workshop in the past?		 Yes
No
Special dietary
requirements (if any):