NZYPT 2016 Application Form
Please complete this form as soon as you decide to enter a team. This will allow us to plan for the size of the competition in each region.
Information can be updated at any stage, student information must be submitted by Friday 17th Feb, 2017
The teacher accompanying the team must act as a juror on the day.
If the school can supply an additional juror this would be most welcome.
Early bird payment must reach the NZYPT bank account before Friday 2nd Dec, 2016 to qualify for the reduced fee.
School: *
Number of teams to be entered: *
This form is for team number: *
Region: *
Teacher Name: *
Teacher Email: *
Teacher Contact Number: *
Student Information: *
Student 1 Name:
Student 1 Email:
Student 2 Name:
Student 2 Email:
Student 3 Name:
Student 3 Email:
NZYPT will be contacting you for emergency contact details and pre-existing medical conditions for your students at a later date.
My school can provide an additional judge:
Clear selection
Additional Judge Name:
Additional Judge Email:
Additional Judge Contact Number:
Payment Information:
Account Name: IYPT New Zealand
ASB Bank Account: 12-3044-0488590-00
Payment of $180 needs to be completed by Friday 17th Feb, 2017
Or early bird payment of $105 if paid before Friday 2nd Dec, 2016
*No payments can be refunded for teams who withdraw
Payment Method: *
All student information must be submitted by Friday 17th Feb, 2017
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