UTAH STATE SCIENCE OLYMPIAD REGISTRATION FORM



2012 UTAH STATE SCIENCE OLYMPIAD REGISTRATION FORMGood News! Utah Science Olympiad is ON! All four Utah Science Olympiad Regional Directors have set the dates for 2012 and the Davis School District has agreed to collect the Science Olympiad Registration Fee. Numerous sites have volunteered to host the state?tournament, but the best hope is that the University of Utah or Davis School District (tentative date April 14th) will host it as most of the teams are up in that part of the state. If those two sites do not work out another site may have to step in or teams can agree on the best way to determine who advances to the National Tournament in Orlando at a?later time. Dr. Ian Harvey, University of Utah (Ian Harvey <IRHarvey@eng.utah.edu>) is acting as the Interim Utah Science Olympiad State Director. Please contact one of the Regional Directors below for any questions regarding a Regional Tournament.SITENAMEDATEEMAILWestminster CollegeJamie?Butler2/11/12jbutler@westminstercollege.eduSnow CollegeDan Black2/25/12dan.black@snow.eduCedar City HSVicki?Heaton3/10/12vicki.heaton@Davis HSFrank Stevens3/17/12fstevens@To register complete this original registration form and send it, with your CHECK for $175 Reduced Fee for 2ND Team $150-must use a separate Form (Either fee includes $60 National Fee, Regional and State fees)Make checks payable to the Davis School District Science Olympiad, to the address at the bottom of this page.The registration fee is nonrefundable.Purchase orders cannot be accepted for registration.School information:School Name: ________________________________________________________________________Address: ____________________________________________________________________________City: _______________________________________________ Zip code: __________________County: _____________________________________________Telephone: (________) ___________________________ Fax: (________) _____________________Check one: ________ Division B (Grades 6-9) ________ Division C (Grades 9-12)Coach Information (There must be at least two coaches for every team entered)Coach #1 _________________________________________________________________Home Address: __________________________________________________________________________________________________________________________________City: ___________________________________ State: _________ Zip: _______Home/Cell Phone: (Do not enter school number) (_______) ______________________________Best contact e-mail address: ________________________________________________________________Coach #2 _________________________________________________________________Home/Cell Phone: (Do not enter school number) (______) __________________________Beat contact e-mail address: _________________________________________________________________A FORM WITH BLANK SPACES WILL NOT BE PROCESSED.REGISTRATION DEADLINE January 6, 2012. No late registration will be accepted.Mail registration and check to:Davis School DistrictAttention: Jodi Lunt70 East 100 NorthFarmington, Utah 84025 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download