EIU AC Registration

Sectional Academic Challenge Competition Eastern Illinois University Thursday, March 8th 2007 Registration Form for Advancing Teams or At Large Students (Team rosters and At Large rosters must be sent separately.) (Contact lestorm@eiu.edu for a Submission Password or if you have other problems with this form.)
Coach's Name:
Email Address:
Home phone:
Division of School:
School Enrollment:
School Phone Number:
School Fax Number:
*School Name:
Team or At Large?:
Street:
City:
Zip:
Transportation to EIU:	We will be coming by Bus (passenger size: ). We will be coming in (number of autos or vans: ).
(Note: At-Large advancers may register for two exams.)

Formal Name of Student (as it will appear on the participation certificate) e.g: John Q. Smith		1st Exam	2nd Exam	Class
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*Submission Password
Contact lestorm@eiu.edu for a Submission Password or if you have other problems with this form.
*TO CLEAR ALL FIELDS AND START OVER:*					*CLICK*
If for some reason this form does not return a response page to you, you may print the screen and fax the information to 217-581-8548.
When this information has been received, a confirmation will be sent to the email address that you have listed above.