Math Blazers Registration
Student First Name
Your answer
Student Last Name
Your answer
Student Gender
School
Grade
Division
Division E is easier; Division M is harder. Grades 3 and 4 choose Division E. Grades 5 and 6 can choose either one. Grades 7 and 8 choose Division M
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Email Address
You should use this same email address when making your payment
Your answer
Phone Number
We will use this number to contact the Parent/Guardian as needed
Your answer
Emergency Contact Name
A second person we may contact in case of an emergency
Your answer
Emergency Contact Phone Number
Your answer
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