Columbiana County Varsity Academic Challenge 2019
Please Note: If a student is a member of a Varsity Team, they shall not be permitted to compete on a Junior Varsity Team.

Please complete the requested information below. Click "SUBMIT" to finalize your registration.

Once your registration has been submitted, a separate form will be sent to you in which you will list information regarding your Reader and Team Members.

Coach Information
Coach's First Name *
Your answer
Coach's Last Name *
Your answer
Contact Phone Number *
(format: 000-000-000)
Your answer
Email Address *
Please provide the email address you use most often.
Your answer
School District *
Choose your District below.
Registration Fee: $75.00
Please mail your registration fee of $75.00 prior to Tuesday, December 18, 2018. Please make checks or PO's payable to Columbiana County ESC and mailed to:

Leanna Welsh, C & I Project Secretary
Columbiana County ESC
38720 Saltwell Road
Lisbon, Ohio 44432

Questions: Please contact Debbie Deafenbaugh at (330) 424-9591 or

Never submit passwords through Google Forms.
This form was created inside of ACCESS. Report Abuse - Terms of Service