Milestone C
Shaping Future STEM Leaders


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Student Name *
Student Name
Parent Name *
Parent Name
Program Registering For *
Mailing Address *
Mailing Address
Requesting a Scholarship? *
A brief explanation of why the scholarship is necessary & how it will help the student
Registration Fee ($100) Payment Method *
Milestone C accepts PayPal or credit card payments for the $100 registration fee. Click "submit" at the bottom of this form and you will be redirected to make the payment. Press "Continue" on the next page. From there you can choose PayPal or “Pay with Debit or Credit". If you have received a scholarship no registration fee is necessary.

The registration process is not complete until the above form and the registration fee of $100 are received.