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 vaapapresident2017@gmail.com
Email address *
Student Information
Student First Name *
Your answer
Student Last Name *
Your answer
School *
Your answer
Student Grade *
Student Email Address
Your answer
Parents/Guardian Information
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Relation to Student *
Parents/Guardian Email Address
Your answer
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.
Consent *
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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