Please complete and submit this registration form. Student Contact Information First Name: Last Name: Phone: E-Mail: Mailing Address: School InformationCurrent grade: 4th 5th 6th 7th 8th 9th 10th 11th 12th Age: Gender: Male Female School's name : (Mathematics) Teacher's name: Parent Contact Information First Name: Last Name: Phone: E-Mail: AMC Contest Information I am registering to: AMC 8 - Tuesday, November 13, 2012 AMC 10 - Tuesday, February 5, 2013 AMC 12 - Tuesday, February 5, 2013
Mailing Address:
School Information
Current grade: 4th 5th 6th 7th 8th 9th 10th 11th 12th
Age: Gender: Male Female
School's name :
(Mathematics) Teacher's name:
Parent Contact Information
I am registering to:
AMC 8 - Tuesday, November 13, 2012
AMC 10 - Tuesday, February 5, 2013
AMC 12 - Tuesday, February 5, 2013