Kewpie Math Classic Registration Form

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Registration Deadline: March 1
Event Date: March 19 (1-4pm) at Hickman High School
Registration begins in the Commons at 12:30pm.

First Name *

Last Name *

School *

City, State *

Grade *

Rank the following activities in order (1st=top pick, 5th=least favorite) of interest in participating. *

Sudoku Contest

Rubik's Cube Contest

Pi Recitation Contest

Math Jeopardy

Math Trail

1st

2nd

3rd

4th

5th

Please list any health concerns of which we should be aware.

Emergency Contact Phone Number for the day of the event. *

Please provide an email address to contact in regard to information about this event. In the case of inclement weather, this is the email that will be used to make the announcement. *

By signing below you agree to provide your child with transportation to/from the event & grant permission for your child's name/photograh to be published: *

Parent/Guardian Signature:

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