Mathematics Educators of Greater St. Louis
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

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

Total # of students

 

at $6 each =

$ -

 

 

 

 

 

 

 

 

 

 

(Add additional $40 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

 

 

 

Florissant Valley Community College

 

 

 

3400 Pershall Road, St. Louis, Missouri 63135

 

 

NO REGISTRATIONS WILL BE ACCEPTED AFTER MARCH 5TH.

 

 

 

 

 

 

PLEASE PRINT SCHOOL NAME

 

 

 

PLEASE TYPE OR CLEARLY PRINT STUDENT NAMES (max. 10 per grade).

 

 

Student

Room Assigmt

Name of Substitute

Score

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EIGHT GRADE

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