REGISTRATION FORM
STATE HIGH SCHOOL MATH CONTEST FINALS - CENTRAL REGION
THURSDAY, MAY 1, 2008 - University of North Carolina at Greensboro

Name
Last__________________________ First ______________________ Middle________________

Age_________________ Sex_______________

Home Address: _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

School Represented: _____________________________________________________________

School Address: ________________________________________________________________

_____________________________________________________________________________

Math Teacher's Name: ___________________________________________________________

Contest Subject:
Algebra I__________ Algebra II__________ Geometry___________

Grade Level: 7th______ 8th______ 9th______ 10th______ 11th_______ 12th______

Regional Contest Site where you competed:
A&T State Univ.__________ UNCC__________
Davidson Comm. College__________ Wake Forest Univ.__________
Greensboro College__________ Wake Tech. College__________
Pembroke State__________ Wingate College__________
Surry Comm. College__________ Other__________


Name you wish to appear on certificate of participation: (PRINT CLEARLY)

First__________________________ Middle ______________________ Last________________

Name of adult(s) attending contest with you:___________________________________________
Mode of transportation: Car__________ Bus___________(Vehicles over 7'4" do not fit in the parking deck and will need to use park and ride. Information will be on my web site.)
Registration Fee: NONE!
Registration Date: Send registration ASAP.
Mail to:
Gregory C. Bell
Department of Mathematical Sciences
116 Petty Building
University of North Carolina at Greensboro
Greensboro, NC 27402
Office phone: 336 256-1138; e-mail: ignorethisgcbell (at) uncg.edu

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Page revised March 6, 2008