23rd
ANNUAL ACADEMIC COMPETITION IN MATHEMATICS
A. ________________________________ _________________________________
School
District School
Name(s)
________________________________ _________________ _____________
Person
Completing Form Phone Date
One Math team will be accepted from each
participating district. If space
permits, additional teams will be
accepted.
List teams in priority order--Team 1 is guaranteed, Team 2 is first
additional, etc.
Note: Please do not request a change in level
after
B. Math
Team 1 Math
Team 2 Math
Team 3
Level
____ Level
____ Level
____
Name Grade
Name Grade
Name Grade
_____________________ ____
_____________________ ____ _____________________ ____
_____________________ ____
_____________________ ____ _____________________ ____
_____________________ ____
_____________________ ____ _____________________ ____
_____________________ ____
_____________________ ____ _____________________ ____
_____________________ ____
_____________________ ____ _____________________ ____
send those names in. We will notify you of how many teams may
participate.)
F. _______________________________________
______________________________
Signature of Superintendent Date
Due Date:
Mail to: Suzanne
Lewis
6905 Given
Road
Make checks payable to: Suzanne Lewis
Attn: Academic Competition