S.O. registration form

PLEASE TYPE OR PRINT CLEARLY

Head Coach________________________________________

School ____________________________________________

School Address: ____________________________________

City_____________________________ Zip ______________

Additional Coaches:__________________________________

__________________________________________________

School Phone__________________ Fax _________________

Home Phone________________________________________

E-mail ____________________________________________

District ___________________________________________

National & State & Regional Membership Fee:

(includes 1 Coaches Rules Manual)

_____ $130-- Division B (Grades 6-9, with maximum of five ninth grade students permitted on a team)

_____ $130 -- Division C (Grades 9-12, with maximum of seven twelfth grade students permitted on a team)

_____ $20 LATE FEE will be assessed for registrations mailed after December 15, 2009. NO registrations will be accepted after February 1, 2010

_____ $10 Each Extra Coaches Manuals

_____ $3 -- Shipping & Handling

_____ Total

Workshop Registration

Check if you wish to attend the Saturday workshop

______ October 17, 2009
             Weber State University
             229 Lind Lecture
             9 a.m. to 1 p.m.
             Lunch provided (pizza)

WHAT TOPICS WOULD YOU LIKE TO HAVE DISCUSSED?

_________________________

Return registration form with fee payable to:

Weber State University
Utah Science Olympiad
Center for Science & Math Education
2509 University Circle
Ogden UT 84408-2509

Note: To avoid the shipping and handling cost manuals may be picked up at the Center for Science and Math Education or at the coaches clinic.

If you want to attend the coaches clinic without registering a team PLEASE call 801-626-6160 to let us know. You are welcome to come just to learn more about the program.