2001-2002
Please print all information in ink. Do not forget to sign
the Contract as well.
Adult Coordinator Information
(Provide name of primary coordinator if team has more than one adult coordinator.)
Name___________________________________________________________
School District __________________________ County___________________
Address________________________________________________________
City___________________________ State ________ Zip Code____________
E-Mail Address___________________________________________________
Daytime Telephone____________________ Fax Number___________________
Problem Information
Corporate Sponsor of Problem_____________________________
Problem Number___________________________________________
Team Information
(PLEASE PRINT)
Last Name
First Name
Grade Gender
1._____________________________________________________________________________
2._____________________________________________________________________________
3._____________________________________________________________________________
4._____________________________________________________________________________
5._____________________________________________________________________________
6._____________________________________________________________________________
Note : Teams may consist of two to six members.
Please feel free to copy this form for additional entries.
Please send ALL completed forms and solutions to:
Let's Get Real
624 Waltonville Road
Hummelstown, PA 17036
by or before JANUARY 18, 2002.
Back to the Registration Form