Intent to Participate
2018 Northeast Pennsylvania Regional Bridge Building Competition

Complete this form to ensure your school is on our distribution list for all notifications made regarding the upcoming event. Completion of this form does NOT commit your school to participation. This form is NOT a registration form. See our website for the event registration form (available as both a web form and printable form.) You may also communicate your intent to participate by sending an email containing this information to the address found at http://www.neparbdgblg.com/

School *
Enter the name of your school (not just the district name).
Your answer
Mailing Address *
Enter the mailing address of your school.
Your answer
Street Address
Enter the street address of your school if different from the mailing address.
Your answer
State *
Enter the state of your school (Default: PA)
Your answer
City *
Your answer
Zip *
Your answer
Which address should be used for any correspondence and delivery of competition materials? *
County *
Select the county in which your school is located.
School Phone *
Enter the school phone number
Your answer
Sponsor *
Enter the name of the teacher or school administrator who will represent all participants from the school and act as the main point of contact for the school. This is the person that the competition committee will communicate with regarding the event and any participants from your school. This person will also be responsible for choosing up to 3 participants to represent the school at our regional event.
Your answer
Sponsor Email *
Enter the email address of the Sponsor. This email will be used for mass event communications, including annual invitation to the event.
Your answer
Sponsor Email (ALT)
Enter an alternate email for the sponsor. (NOT REQUIRED)
Your answer
Sponsor Phone
Enter the sponsor phone number (if different from School Phone phone provided)
Your answer
Preferred Local Newspaper / Media *
Our organization will attempt to notify your preferred local newspaper/media of the the participation of your student(s) both prior to the event and also in the event that your student(s) place in the competition.
Your answer
Acknowledgement *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms