FUTURE PROBLEM SOLVING PROGRAM



Coach Home phone

School School phone

School address

City______________________________________ State______ Zip code ____________________

E-Mail_____________________________________________________

Use one form for each coach. (Duplicate this form as needed.)

Registration Fees

Competitive Components

Global Issues PS - Team (with Evaluator) $160

Each Additional Team $150

December 21, 2019-no refunds after this date

Global Issues PS - Team (without Evaluator) $160

Each Additional Team $160

December 21, 2019-no refunds after this date

Community Problem Solving (CmPS) $200

Submission deadline is January 3, 2020-no refunds after this date

Individual CmPS $50

Submission deadline is January 3, 2020-no refunds after this date

Scenario Writing (single submission) $60

Submission deadline is December 20, 2019-no refunds after this date

Scenario – (multiple (2) submissions) $90

Submission deadline is November 27, 2019-no refunds after this date

Art Component—(each submission) $40

Submission deadline is January 17, 2020-no refunds after this date

Scenario Performance (each submission) $40

Submission deadline is January 17, 2020-no refunds after this date

Component Divisions

Junior Division Grades 4-6

Middle Division Grades 7-9

Senior Division Grades 10-12

Registrations accepted through Nov. 2 2019

Payment deadline—Feb. 1, 2020

Make checks payable to FPSPofCT

Include check or school purchase order along with this form. Send to:

Future Problem Solving Program of Connecticut, Inc.

321 S Orchard Street

Wallingford, CT 06492

Phone-203/843-1036

Karen@

Payment can follow after registration is received.

Register the following number of teams or individuals

In identified divisions:

# Amount

_____Junior Division Global Issues PS - Team $______

_____Additional Junior Division Team(s) $______

_____Middle Division Global Issues PS - Team $______

_____Additional Middle Division Team(s) $______

_____Senior Division Global Issues PS - Team $______

_____Additional Senior Division Team(s) $______

_____Junior Division CmPS $______

_____Middle Division CmPS $______

_____Senior Division CmPS $______

_____Junior Division Individual CmPS $______

_____Middle Division Individual CmPS $______

_____Senior Division Individual CmPS $______

_____Junior Division Scenario Writing $______

_____Middle Division Scenario Writing $______

_____Senior Division Scenario Writing $______

_____Junior Division Scenario (2 Submissions) $______

_____Middle Division Scenario (2 Submissions) $______

_____Senior Division Scenario (2 Submissions) $______

_____Junior Scenario Performance $______

_____Middle Scenario Performance $______

_____Senior Scenario Performance $______

_____Junior Art $______

_____Middle Art $______

_____Senior Art $______

TOTAL $___________

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