PSPE, Pittsburgh Chapter, Mathcounts School Participation Form

	Pennsylvania Society of Professional Engineers
		337 Fourth Avenue, Pittsburgh, PA 15222 412.391.0615

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2008 MATHCOUNTS COMPETITION
SCHOOL PARTICIPATION FORM
February 2, 2008

School Name
We will be participating in 2008 MATHCOUNTS competition
We will not be participating in 2008 MATHCOUNTS competition
.

.
School Representative

Name

first last Title
E-mail address Phone
.

,
Names of Team members:

First Name Last Name Grade Gender

Captain

Member

Member

Member

.
Individual members:

First Name Last Name Grade Gender

Individual (1)

Individual (2)

Individual (3)

Individual (4)

.
Team coach Name First Last
School phone
Coach's Direct phone To be used to contact the coach in case of inclement weather and or competition changes
Email address

WE MUST RECEIVE THIS FORM NO LATER THAN JANUARY 24, 2008