Excellence in Mathematics

Junior High School Mathematics Competition

Registration Information

Information can be typed directly on this form.

School Name
School Address
City, State, Zip
School Phone
Faculty Sponsor (s)
Sponsor Phone
Sponsor Email Address

Participation Fee

Number attending contest:
7th Grade (14 max) x $5.00 =
8th Grade (14 max) x $5.00 =
Total enclosed
Payment Type
(Circle one) / Check / Credit Card
Credit Card Number
Expiration Date

Please make checks payable to Chandler-Gilbert Community College. Participation fee is waived for sponsors/proctors. Student fees are nonrefundable but may be transferred to another student if a substitution is necessary.

Please remit this form and payment by January 11th, 2013 to:

Trey Cox

Excellence in Mathematics Jr. High Competition

Chandler-Gilbert Community College

2626 East Pecos Road

Chandler, AZ 85225

For additional information:

Phone: (480) 857-5437

Email:

Student Information

7th Grade Students
Individual Test
Name (First Last) / Adult T-shirt size
(S, M, L, XL)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Team Project
Name (First Last) / Adult T-shirt size
(S, M, L, XL)
11.
12.
13.
14.
8th Grade Students
Individual Test
Name (First Last) / Adult T-shirt size
(S, M, L, XL)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Team Project
Name (First Last) / Adult T-shirt size
(S, M, L, XL)
11.
12.
13.
14.

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