Student Design Challenge Registration Student Design Challenge Registration Participant Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* School* Year of Graduation* Design Professor* Category Preference*The Humble Home contains living areas, dining areas, bedrooms, playrooms and office areas. Please list your top 3 preferences below:_____ Living _____ Dining _____ Bedroom _____ Playroom _____ OfficeTeam Members (if applicable)Each Team member must register themselves.Team Member School Team Member School Team Member School Team Member School Payment OptionsStudent Design Challenge Registration Fee Price: Method of Payment:*PayPalVisaMastercardAmerican ExpressDiscoverName on Card* Credit Card Number* Expiration Date (mm/yy)* Security Code (###)* PayPal – Send to: payments@builders.orgTotal $0.00 AcknowledgementAcknowledgement* I acknowledge the following: I acknowledge that I have read the rules and regulations of the 2021 HBA Design Challenge and will adhere to all rules and deadlines. Registration fee MUST BE RECEIVED for all team members before submission.
