Mathematics Educators of Greater St. Louis
AmerenUE
St. Louis Community College at Florissant Valley
present

Excellence in Mathematics

REGISTRATION FORM

School

Faculty Sponsor

Street Address

City/State/Zip

Email Address

Home Phone

Faculty Proctors (minimum one per grade)

6th

7th

8th

9th

REGISTRATION FEE PAYABLE TO MEGSL: (No Purchase Orders, Please)

Total # of students

at $5 each =

$ -

(Add additional $25 fee after February 25) =

Total=

$ -

NUMBER OF STUDENTS WHO WILL BUY LUNCH FROM THE FLORISSANT VALLEY CAFETERIA:

PLEASE RETURN CONTEST FEE AND THIS COMPLETED FORM BY FEBRUARY 25 TO:

Brian Bozek – Department of Mathematics

St. Louis Community College Florissant Valley

3400 Pershall Road, St. Louis, Missouri 63135

NO REGISTRATIONS WILL BE ACCEPTED AFTER FEBRUARY 27^TH.

PLEASE TYPE OR CLEARLY PRINT STUDENT NAMES (max. 10 per grade).
		Student	Room Assigmt	Name of Substitute	Score
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EIGHT GRADE	1.
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NINTH GRADE	1.
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