CCIC Training Program: Interest Form
Please fill out this form to express your interest in receiving more CCIC preparation content!
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Email *
Parent Email Address (Please retype to confirm the email above.) *
Parent First Name *
Parent Last Name *
Parent Mobile Phone Number *
Please enter your number in the format ###-###-####
Student First Name *
Student Last Name *
What specific STEM subject(s) is your child interested in? (ie. coding, astronomy, biology, etc.)
Note: Your student also must be in middle school or high school to compete in CCIC.  
If your student is not in middle school or high school, they can continue to watch these videos for fun! However, they will not be able to compete in the competition.
To compete in CCIC, you must participate on a team with up to 6 students total.
Echelon Catapult has partnered with CCIC to create teams composed of our own students! If you would like to participate with a team with other EC students, please check the respective box below. (This option closes on August 24th). *
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