MATH KANGAROO in USA 2008 - MAIL REGISTRATION FORM
LOCATION: see www.mathkangaroo.org or check with your school
Location Name: City/Town: State:
LEVEL OF PARTICIPATION (SCHOOL GRADE OR HIGHER)_____________
FIRST NAME_______________________________________MIDDLE INITIAL_______
LAST NAME_______________________________________________________________
HOME ADDRESS__________________________________________________________
CITY/STATE/ZIP___________________________________________________________
PHONE(S)_____________________________________________________
PARENT’S EMAIL ADDRESS_____________________________________________
SCHOOL NAME____________________________________________________________
SCHOOL ADDRESS____________________________________________________________
CITY/STATE/ZIP___________________________________________________________
PRINCIPAL’S/TEACHER’S EMAIL________________________________________
RACE: __ASIAN ___BLACK ___HISPANIC ___NATIVE AMERICA ___WHITE (optional) ;
T-SHIRT (Adult Sizes): __X-SMALL OR __SMALL OR __MEDIUM OR __LARGE OR __X-LARGE
IS FINANCIAL AID REQUESTED? __NO __YES (IF YES, PROOF OF NEED IS REQUIRED)
HOW MANY TIMES HAVE YOU TAKEN PART IN “MATH KANGAROO” SO FAR? _______
Photographs will be taken during all Math Kangaroo events. All pictures
might be used for publishing on the web site, advertising, etc. If you do not
wish your child be photographed, please contact us.
Register on www.mathkangaroo.org and save on postage or
Mail this form with suggested donation of $20
(checks/money orders) payable to Math Kangaroo in USA, NFP
to:
Math Kangaroo in USA, NFP
P.O. Box 472
Lisle, IL 60532
Registration ends December 15th 2007