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Registration: Semester Research Program

Student First & Last Name*

Parent First & Last name*

Student Email*

Parent Email*

School Name, Postal Code*

Grade Level*

Grade 9

Grade 10

Grade 11

Grade 12

Semester Registering for*

Spring 2026

GPA (Unweighted)*

AP/STEM subjects taken so far*

How did you hear about us?*

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Please consent before submitting (Only parents/guardians of students can submit this form)*

I consent that I am 18 or older.

By clicking the "Next" button, you will be directed to the application fee payment page.

Email address

Contact US!

We'd love to hear from you!

inquiry@moxiescientist.com

512-222-7302