Orlando Workshop 2026 Registration Form

2026 Orlando Regional Workshop - Educator Registration

Educator registration form for the 2026 Orlando Regional Workshop.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Event: 2026 Orlando Regional Workshop
Date: July 21–22, 2026
Location: Orange County Innovation Center, 7149 W Colonial Drive, Orlando, FL 32818
Registration Fee: $50. After registration, teachers will receive payment instructions from the Florida Photonics Cluster.
Educator Support: Information will be provided about the $200/day stipend and refund of the registration fee after workshop completion.
Questions: carolann@floridaphotonics.org

Educator Contact Information

First Name*

Last Name*

Preferred Name / Badge Name

Cell Number*

Personal Email Address*

Use an email address you can access during summer break and after the workshop.

School Email Address*

Home Address

Home Street Address*

Home Address Line 2

Home City*

Home State*

Home ZIP Code*

School Information

School Name

School Street Address

School Address Line 2

School City

School State

School ZIP Code

School District

School County

Example: Orange County

School Type

Teaching Information

Subject Area(s)

Example: Physics, Engineering, CTE, Manufacturing, Robotics, Chemistry, Math

Years of Teaching Experience

Optional, but helpful for tailoring educator resources.

Average Number of Students You Teach Each Year

What do you hope to bring back to your classroom?

Tell us what classroom ideas, lab activities, or industry connections would be most useful to you.

Workshop Logistics

Meal Preference

Select the option that best fits your lunch preference. Use the follow-up field for allergies or other needs.

Meal Preference / Allergy Details

Required only if you selected a food allergy, medical restriction, or Other.

Accessibility Accommodations Needed?

Select Yes if you need any accessibility, mobility, communication, or seating accommodation.

Accessibility Accommodation Details

Required only if you selected Yes above.

May we share your name and school with workshop partners for event coordination?*

Used for coordination with Florida Photonics Cluster, Orange County, Valencia College, AmeriCOM, and workshop partners.

Photo / Media Release*

Photos may be used for event documentation, reporting, newsletters, or future workshop promotion.

How did you hear about this workshop?

Optional, but helpful for future outreach.

Other Referral Source

Required only if you selected Other above.

Acknowledgements

Payment: After registration, teachers will receive an email from the Florida Photonics Cluster with instructions on how to pay the $50 registration fee.

Stipend and refund: Teachers will also receive information about the process for receiving the $200/day stipend and a refund of the registration fee once they complete the workshop.

Registration Fee Acknowledgement*

I understand the registration fee is $50 and that payment instructions will be provided by the Florida Photonics Cluster after I register.

Stipend and Refund Process Acknowledgement*

I understand I will receive information on the process for the $200/day stipend and registration fee refund after completing the workshop.

Follow-Up Survey Agreement*

I agree to complete one Fall semester survey and one Spring semester survey about how I used the workshop training.

Information Accuracy Confirmation*

I confirm that the information provided is accurate.

Questions or Notes for the Workshop Team

Optional. Add questions, schedule notes, classroom needs, or other information for the workshop team.