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THE REGISTRATION FORM

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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 the deadline date for
the specific challenge.

Having trouble printing this? Try the alternate registration form.

For information about the contest or the problems, contact:
your State Coordinator or Program Coordinator