CTY Bermuda 2017 Math Olympiad Registration

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When: Sunday, November 22, 2015
Where: CedarBridge Academy
Time: 1:00 p.m. - 3:00 p.m.
Awards Ceremony: 6:00 p.m.

Entry Fee: FREE

Executive Director: Riquette Bonne-Smith
Deputy Directors: Tossha DeGraff & Keisha L. Douglas
21 Woodlands Road
Hamilton HM 09, Bermuda
Telephone: 441.296.7259
Fax: 441.296.7381
E-mail: info@ctybermuda.bm
Website: www.ctybermuda.com

Student First Name *

Student Last Name *

Date of Birth *

(Month/Day/Year)

Gender *

Male

Female

Name of School *

Grade Level *

P6 / Gr 5 / Yr 6

M1 / Gr 6 / Yr 7

M2 / Gr 7 / Yr 8

M3 / Gr 8 / Yr 9

S1 / Gr 9 / Yr 10

S2 / Gr 10 / Yr 11

S3 / Gr 11 / Yr 12

S4 / Gr 12 / Yr 13

Parent/Guardian's Name *

Address

Home Phone Number

Cell Phone Number

E-mail Address *

I agree that upon entering the event, my child will follow all rules and guidelines set forth by CTY Bermuda. I accept full responsibility for the actions of my child. *

By typing in your name, you agree to these terms.

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