SWRM 2017 Undergraduate Demonstration Competition Registration Form Your University Information University Name: * University Address: * City: * State: * Zip: * Emergency Contact Information (Faculty Advisor): First Name: * Last Name: * E-mail: * Phone #: * Number of participants: * Names of participants: List of Demonstrations (Demos): 1. 2. 3. Waste information: ● Fire extinguishers and other emergency safety materials will be provided by the Texas Tech University student chapter of the ACS. ● Safety materials such as goggles, lab coats, and other personal protection equipment must be provided by the individual chapters! NOTE: CHAPTERS MUST BRING SAFETY TRAINING FORMS FOR ALL PARTICIPANTS TO COMPETITION. THOSE WHO DO NOT PRESENT SAFETY FORMS AT THE COMPETITION WILL NOT BE ALLOWED TO PARTICIPATE. NOTE: ALL PARTICIPANTS MUST COMPLETE REGISTRATION FOR SWRM. THOSE WHO ARE NOT REGISTERED FOR SWRM WILL NOT BE ALLOWED TO PARTICIPANT IN THE DEMO COMPETITION.