SimplyScience: Science on the Move Registration

Science on the Move – 2027

School and persons in charge

School

Name of school ¹ *

Address of school *

Class (official name) ¹ *

Grade (10th or 11th? = 1 or 2 years before matura) *

A few words about the class ¹ *

¹ This information will be published on www.simplyscience.ch

IBAN school account *

Account holder name and address *

Name of the bank *

(All classes will receive a financial contribution for materials used for the task)

Teacher 1

Teacher 1 first name *

Teacher 1 last name *

Teacher 1 email *

Teacher 1 mobile *

Add a second teacher?

Teacher 2

Teacher 2 first name

Teacher 2 last name

Teacher 2 email

Teacher 2 mobile

Team Leader

Team Leader first name *

Team Leader last name *

Team Leader email *

Team Leader mobile *

Back-up Leader

Back-up Leader first name *

Back-up Leader last name *

Back-up Leader email *

Back-up Leader mobile *