Challenger Learning Center New Mexico - Albuquerque, New Mexico

PUBLIC MISSIONS REGISTRATION FORM

1. Positions in programs are not guaranteed until payment has been received by CLCNM.
2. Payment for all missions is due 1 week before flight date.
3. To ensure the best mission experience possible, public missions are flown only on dates with
at least 12 registered participants.
4. Indicates required field (*).

Personal Information All Fields Required

Name *

Address *

City *

State *

Zip *

Phone *

Email *

Participants *
Please include the names
and ages of all participants

Additional Comments

Programs Select At Least One Program

	Holiday Launch (Ages 10 & Up)

	Micronauts Mission (Ages 6-9)

	Sweetheart Mission (Ages 21+ Only)

Attendees

Select number of attendees

Adults	Children

Security Required

Security Code *

Enter Security Code

Payment Information

1. We accept Check, Visa, Mastercard, Discover, Cash, or PayPal.
2. Positions in programs are not guaranteed until payment has been received by CLCNM.
3. Payment for all missions is due 1 week before flight date.
4. Call (505) 248-1776 to make a payment by phone.
5. Mail or bring your payment to:	Challenger Learning Center New Mexico 1776 Montaño Road NW Los Ranchos de Albuquerque, NM 87107

CLICK THE SUBMIT FORM BUTTON BELOW TO COMPLETE YOUR REGISTRATION FORM

Registration Form

PUBLIC MISSIONS REGISTRATION FORM