Registration Form
Twenty Third Annual Math And Science Bowl
November 17, 2011
West Virginia University Institute of Technology
Name of School: __________________________________
Address: __________________________________
__________________________________
Phone/Fax Numbers: __________________________________
Team Members: Grade
________________________________(Captain) _____
________________________________ _____
________________________________ _____
________________________________ _____
________________________________(Alternate) _____
Name of Team Sponsor: _____________________________ Title:___________________
E-mail address: _____________________________
School Phone # : ___________________ Home Phone #: _____________________
Best time to reach you: _____________________________
Name of School Principal: ____________________________
Please return this form by Oct 31, 2011. Names can be changed after this date, but for planning purposes I would like to know how many people will be attending our event. (Any name changes made after Nov. 10th might not appear in the program)
If there are any questions, please contact Susan Barton at one of the numbers below.
WVU Tech: 442-3297 , e-mail: sbarton@wvutech.edu
You may also leave a message with the Math Department Secretary at 442-3361.