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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