Registration Form

The form above will request:

  • Student's name
  • High School (Students do NOT need to be sponsored by a school.  Home schooled registrants should indicate this status.)
  • Year in school
  • High School Mentor (if relevant)
  • Home phone 
  • E-mail (if available)
If there are problems with the form, please e-mail: cannon@scranton.edu

If you have questions, you can also call Dr. Tim Cannon at:  570.941.4266