2019 Mathcounts Registration Form
Event Timing: Saturday, May 11, 2019
Event Location: Johnson Middle School
Event Address: 13603 Edwards Street, Westminster, CA 92803
Contact us at (714) 642-9590 or
Student First Name
Student Last Name
Student Email Address
Parent/Guardian First Name
Parent/Guardian Last Name
Relation to Student
Parents/Guardian Email Address
Waiver of Liability
I hereby give my consent for the participant named above to participate in the 2019 VAAPA Mathcounts Competition which will be held at Johnson Middle School on Saturday, May 11, 2019. On behalf of myself, my heirs, executors, administrators, and assigns, I hereby waive and release any and all rights and claims for damages I may have against VAAPA as well as any other persons connected with this VAAPA Mathcounts Competition, for any and all injuries which the participants named above may suffer while taking parts in this competition or as a result thereof.
I have read and agree to the Waiver of Liabilty
I do not agree
Use of Images
VAAPA and other parties may use your student’s images at the Mathcounts Competition on future promotional and other materials.
I here by grant permission to VAAPA and other parties to use my student's images
Participant No-show Policy
If you are confirmed for the event but cannot make it as planned, you are required to cancel your registration at least 48 hours before the event start time so we can give the open spot to the next student on the waiting list. If you fail to show up to the class without proper notification, you will be blocked from our future events.
I understand and agree to the no-show policy
A copy of your responses will be emailed to the address you provided.
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