MP School Contact Designee (SCD) Form
To better serve your school we ask that you complete the following information to designate an official Math Pentathlon® Contact Person who will be the primary representative for your school. The Contact Person will receive all communication from the Pentathlon Institute to share with others. The school contact must be approved by the school principal unless this is a club that does not practice at a school. If approved, the contact may access their preliminary tournament database.
Email address *
Is the School Contact Designee (SCD) the same this year as last year? *
Is the Principal the same this year as last year? If none, please indicate none. *
Required
School District (if none, please indicate none): *
Your answer
School Name (if none, please indicate none): *
Your answer
Math Pentathlon Games are taught in: *
Your Position (select all that apply): *
Required
First & Last Name of School Contact Designee (SCD): *
Your answer
School Contact Designee (SCD) Email: *
Your answer
School Contact Designee (SCD) Daytime Phone: *
Your answer
School Contact Designee (SCD) Evening Phone:
Your answer
First & Last Name of Principal (if none, please indicate none): *
Your answer
Principal's Email (if none, please indicate none@none.org): *
Your answer
School or Club street address: *
Your answer
School or Club city: *
Your answer
School or Club state: *
Your answer
School or Club zip code: *
Your answer
School or Club phone: *
Your answer
School fax:
Your answer
School or Club Website:
Your answer
Our students: *
Approximately how many Div I (Kinder/1st Grade) Pentathletes® will your group be sending to the tournament? If zero, please enter 0. *
Your answer
Approximately how many Div 2 (2nd/3rd Grade) Pentathletes® will your group be sending to the tournament? If zero, please enter 0. *
Your answer
Approximately how many Div 3 (4th/5th Grade) Pentathletes® will your group be sending to the tournament? If zero, please enter 0. *
Your answer
Approximately how many Div 4 (6th/7th Grade) Pentathletes® will your group be sending to the tournament? If zero, please enter 0. *
Your answer
By entering Principal name and date below, the electronic entry is considered a signature. Please note that all Principals will be contacted to verify this information.
Date: *
MM
/
DD
/
YYYY
Principal Signature (if none, please indicate none): *
Your answer
This section is for sharing information with the institute (Comments, Student Quotes, Praise, Suggestions, etc).
Your answer
A copy of your responses will be emailed to the address you provided.
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