33rd Annual Great Computer Challenge 2018 - Registration Form (SCROLL DOWN FOR FILLABLE FIELDS)
PLEASE SCROLL DOWN FOR FILLABLE FIELDS OF THIS FORM.

Senior Competition (grades 6-12) - March 10, 2018
DEADLINE - Feb 2nd, 2018 - $50 late fee if postmarked or submitted online after this date.

Junior Competition (grades K-5) - May 12, 2018
DEADLINE - April 6th, 2018 -$50 late fee if postmarked or submitted online after this date.

Make sure you use the hard copy to prepare your data before submission, to have a record for yourself, and to mail or email in with your payment. http://education.whro.org/gccworksheet-2018

Please take a few minutes to fill out this form. If you are paying by credit card, please list it on the worksheet and mail or email it in or call 886.559.2353 or pay here http://education.whro.org/gccpayment. If you are mailing a PO or check, make sure you mail or email it with your worksheet.

EMAIL - gcc@whro.org
MAIL - WHRO/GCC
5200 Hampton Blvd
Norfolk, VA 23508

Register ONLY ONE team per form. One team per school per category per level! (except for teams with *)

If you have multiple teams to submit, please email gcc@whro.org with your basic data such as your school, address, coach, phone, etc and we will email you a link to with the prefilled data.

You can find the GCC FAQ's here. http://education.whro.org/gcc-faqs

You can visit http://education.whro.org/ciiroster to check membership. If your school or school division is listed, you are considered either a C.I.I. Member or a C.I.I. Service Participant.

What is the cancellation policy? A full refund will be issued up until the following dates:
Senior 2018 - February 15, 2018
Junior 2018 - April 26, 2018
Please send an email to gcc@whro.org to let us know you need to cancel your team registration. After these dates, no refund will be issued.

Photos and video will be taken at the GCC and posted on the Internet. Contact gcc@whro.org with any names of students whose pictures cannot be released.

WHRO and ODU will not be held liable for any injury, damages, or other kind of loss during the Great Computer Challenge.

Choose Your Membership Level - you can visit http://education.whro.org/ciiroster to check membership. If your school or school division is listed, you are considered either a C.I.I. Member or a C.I.I. Service Participant. *
You must be a C.I.I. Member or C.I.I. Service Participant to participate in the Great Computer Challenge. If you are not a member and would like to find out how to become a member, please contact annie.gilstrap@whro.org
Required
Choose Your Level *
Required
Choose Your Category - Register only one team per form. One team per school per category per level! (except for teams with *) *
Required
Computer Type
Software/Version
Your answer
Teacher Coach First Name *
Your answer
Teacher Coach Last Name *
Your answer
Teacher Coach First Name 2 (if more then 1 coach)
Your answer
Teacher Coach Last Name 2 (if more then 1 coach)
Your answer
Teacher Coach First Name 3 (if more then 2 coaches)
Your answer
Teacher Coach Last Name 3 (if more then 2 coaches)
Your answer
Teacher Coach First Name 4 (if more then 3 coaches)
Your answer
Teacher Coach Last Name 4 (if more then 3 coaches)
Your answer
School *
Your answer
School Division *
Your answer
School Address *
Your answer
School City *
Your answer
School State *
Required
School Zip *
Your answer
School Phone *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
School Fax
Your answer
Email address *
Your answer
Team Members
Up to three students for Level 1, 2, & 3. Up to five students for Level 4. If you don't have the names at the time of registration, please email them to gcc@whro.org.
Team Member 1
Your answer
Team Member 2
Your answer
Team Member 3
Your answer
Team Member 4 (only for Level 4)
Your answer
Team Member 5 (only for Level 4)
Your answer
T-shirt Order
Each team member (not including the teacher coach or alternates) will receive a T-shirt covered by the registration fee. Please indicate # of each size for participating students ONLY. If you don't have the sizes at the time of registration, please email them to gcc@whro.org.
Small (youth size)
Your answer
Small (adult size)
Your answer
Medium (adult size)
Your answer
Large (adult size)
Your answer
XL (adult size)
Your answer
XXL (adult size)
Your answer
XXXL (adult size)
Your answer
Pre-Order extra shirts
Teachers may order additional T-shirts @ $10.00 prepaid. Please indicate how many additional shirts you would like to order.
EXTRA - Small (youth size)
Your answer
EXTRA - Small (adult size)
Your answer
EXTRA - Medium (adult size)
Your answer
EXTRA - Large (adult size)
Your answer
EXTRA - XL (adult size)
Your answer
EXTRA - XXL (adult size)
Your answer
EXTRA - XXXL (adult size)
Your answer
PreOrder Totebags
Teachers may also order Great Computer Challenge. Tote Bags @ $10.00 prepaid.
# of totebags
Your answer
PreOrder DVD of GCC Hightlights
Great Computer Challenge and Winners are highlighted. @ $10.00 prepaid.
# of DVDs
Your answer
Final Payment Total
Choose the Level you are registering for - the cost is per team and based on membership and team level. You can visit http://education.whro.org/ciiroster to check membership. If your school or school division is listed, you are considered either a C.I.I. Member or a C.I.I. Service Participant. *
You must be a member to participate. Contact annie.gilstrap@whro.org if you are interested in finding out how to be come a member.
Required
Total amount of extra T-shirts, totebags, DVDs (all are $10.00/each) *
Your answer
Method of Payment
Please choose your method of payment. Note your category and level on your check or PO.
Please choose your method of payment *
Check#/PO#
Your answer
Total to be paid *
Your answer
Is this your first year participating in the Great Computer Challenge? *
Required
If it's not your first year, how many years have you participated?
Your answer
Do you have a story to share or pictures from previous years? Share your stories here or send your stories and pictures to gcc@whro.org.
Your answer
Comments/Questions (Include any special needs here - i.e. wheel chair ramp for awards ceremony)
Photos and video will taken at the GCC and posted on the Internet. Please include names of any students whose pictures should not be released in this location.
Your answer
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