School Registration Form

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FGCU Invitational Mathematics Competition
Registration Form
Monday, December 14th, 2015
School
Address
Lead Sponsor’s Name
Lead Sponsor’s Email Address
Lead Sponsor’s School Phone
Additional Sponsors and Chaperones
Division
Algebra 1
Geometry
Statistics
Algebra 2
Precalculus
Calculus
Individual
Round
2
2
2
1
1
1
FAMAT School ID#
City
Lead Sponsor’s Cell Phone
# of tests
Total # of Students
Total # of Coaches Shirts
Zip
Tee Shirt Size
# of shirts
Small
Medium
Large
X-Large
XX-Large
XXX-Large
X $12 =
X $5 =
Total Due
Please download and fill in the registration form, and return it as an e-mail attachment to rnichols@fgcu.edu and
jkellis@fgcu.edu. You may include a copy of this registration form with your check. Registration form must be
submitted by email no later than Wednesday, November 25th, 2015. Registration fees must be postmarked by
Saturday, December 5th, 2015. The registration fee is $12.00 per student, which covers the cost of a tee shirt
designed for the event. Please make a check payable to "FGCU MATH CONTEST" for $12.00 times the total
number of participating students plus an additional $5.00 times the number of coaches shirts and send to:
Mr. Robert Nichols, Co-Contest Director
Florida Gulf Coast University
College of Arts & Sciences
10501 FGCU Blvd South
Ft. Myers, FL 33965-6565
Individuals who require reasonable accommodations due to a disability can contact the Office of Adaptive Services
at 239-590-7956, by e-mail at adaptive@fgcu.edu, or via the Florida Relay at 711. If your group needs assistance in
arranging overnight accommodations, please contact rnichols@fgcu.edu by November 25th. By registering for the
contest, schools acknowledge that the contest rules are understood and agreed to.
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