2013 Pennsylvania Science Olympiad Registration Form
Please complete all items. Use "tab" or mouse clicks to move between fields. Note: Date Change for Central and Southwestern Regional Tournaments
Choose Appropriate Region:
If you are unsure of your region see list of counties for each region on registration page.
CE (Central Eastern)
Choose Appropriate Division:
B (Grades 6-9)
C (Grades 9-12)
Specific School Information
School Phone number and extension:
###-###-### x ###
School Street Address:
First Last Name (example: Roger Demos). Please list the coach that should be the primary contact first.
Primary contact phone number
Please list the preferred phone number to use to reach the primary coach outside of school.
Primary Coach: School email:
If the team has more than one coach who should receive emails, list multiple emails with a semicolon in-between.
Non-school email address please. This is needed because many schools block bulk emails. If the team has more than one coach who should receive emails, list each email with a semicolon in-between.
Number of Years your school has been in Science Olympiad
Returning after at least a 5 year absence
Each Team is REQUIRED to provide at least 1 event supervisor/judge
Name of Primary supervisor/judge:
This does not have to be the coach, it can be another adult.
Email contact for this person
Phone number for this person
Preferred subject area:
If your school desires to assist with more than one event please provide the names, contact information and preferred events in the space provided.
Within 72 hours after this form has been submitted, the primary coach will receive a confirmation email and a voucher to be printed and sent with a check to cover the registration fee
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