Math Kangaroo 2007 in USA Mail-in Registration Form – before
you print fliers for your students, please type in your location; for example:
Clark, NJ or Bridgeview, IL
|
For students
from grade 2 through 12 of any ethnic
or cultural background X
International Competition in Mathematics
in your school
or in your neighborhood check
on 630-624-MATH
(6284) after Math Kangaroo in P.O. Box 472 Lisle, IL 60532 Please ,keep this part of the flier for your records and
mail the other part ■■■■■► Please, DO NOT MAIL THE FORM AFTER |
MATH KANGAROO in USA 2007 PARTICIPATION FORM LOCATION: see www.mathkangaroo.org or check with
your school Location Name:
City/Town:
State: LEVEL OF PARTICIPATION (SCHOOL GRADE OR HIGHER)_____________ FIRST NAME______________________________________________________________ LAST NAME_______________________________________________________________ HOME ADDRESS__________________________________________________________ CITY/STATE/ZIP___________________________________________________________ PHONE(S)_____________________________________________________ PARENT’S EMAIL ADDRESS_____________________________________________ SCHOOL NAME____________________________________________________________ SCHOOL ADDRESS____________________________________________________________ CITY/STATE/ZIP___________________________________________________________ PRINCIPAL’S/TEACHER’S EMAIL________________________________________ RACE(optional): __ASIAN ___BLACK ___HISPANIC ___ NATIVE
T-SHIRT: (adult sizes) ____SMALL
OR _____MEDIUM OR _____LARGE OR _____XLARGE IS FINANCIAL AID REQUESTED? __NO __YES (IF YES, PROOF OF NEED REQUIRED) HOW MANY TIMES HAVE YOU TAKEN PART IN “MATH KANGAROO” SO FAR? _______ Photographs
will be taken during all Math Kangaroo events. All pictures might be used for
publishing on the web site, advertising, etc. If you do not wish your child
to be photographed, please contact us. Register on www.mathkangaroo.org and save on postage or mail this part of the form and your $20 registration fee (check/money order) payable to Math Kangaroo in Math Kangaroo in P.O. Box 472 Lisle, IL 60532 Please, DO NOT MAIL THIS FORM AFTER |
