Total Experience Learning Registration

Ready to start your Total Experience Learning adventure?

Students enrolling in Albright College’s Total Experience Learning program will explore creative and innovative research opportunities in all academic disciplines, with access to state-of-the-art scientific equipment.

Following paid registration and waiver completion, you will receive a welcome packet including instructions for the 2023 Total Experience Learning program at Albright College.

Checks or online payments should be made payable to: “Albright College,” memo line “Total Experience Learning”

If you are looking for the form dedicated to Free-Reduced Lunch qualifying students looking for registration sponsorships, please click here.

Parent Information

* First Name

* Last Name:

* E-mail Address

* Phone Number

* Street Address

City

State

* Zip Code

* Are you an Albright College Employee?
NoYes

* TOTAL Number of Children Attending?
123456

Child Registrants:

Click or tap on the gray bars to enter child registrant information. Please use the student’s email address when filling out the below section.

Child Registrant 1

1. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 2

2. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 3

3. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 4

4. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 5

5. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 6

6. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

Email

T-Shirt Size?
SelectYouth MediumYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Emergency Contact Information

Contact 1

* Name

* E-mail Address

* Phone Number

* Address

Contact 2

* Name

* E-mail Address

* Phone Number

* Address

Other Information

* List of allergies or food restrictions (if you registered more than one child, please be clear with the allergy response):

 

Waivers will be distributed to be completed prior to the start of the summer program.

 

* Please enter the red letter from the image below: