SCHOOL MEMBERSHIP FORM

2012   Montana Science Olympiad
Tuesday - November 20, 2012

Montana State University

To register your team for the Montana Science Olympiad, please print this membership form and fax to 406-994-3733 or mail to the below address.    Your school membership application is due in our office by Friday, October 19, 2012.  A school purchase order needs accompany the membership application.  YOUR CHECK MAY FOLLOW and is due at the Science Olympiad Office by Wednesday, October 24th.   Please make check(s) payable to:   Science Math Resource Center  

Science/Math Resource Center
ATTN: Ben Kinsella, State Coordinator
401 Linfield Hall, MSU, Bozeman , MT
   59717

Phone: 406-994-7476 or 800-455-7837

Fax: 406-994-3733

email mtscioly@gmail.com

 

Please Check:

Please Check:

Division B (Grades 6-9)

Division C (Grades 9-12)

    $325 Team of 11-15 students

 

___ $325 JV Team of 11-15 students

(not eligible to medal)

___ $325 Team of 11-15 students

 

___ $325 JV Team of 11-15 students

(not eligible to medal)

___ $275 Team of 10 or less students

 

___ $275 JV Team of 10 or less students

(not eligible to medal)

___ $275 Team of 10 or less students

 

___ $275 JV Team of 10 or less students

(not eligible to medal)

     # of students enrolled in your school Sept 2012

Important! Determines small school status for awards

___# of students enrolled in your school Sept 2012

Important! Determines small school status for awards

 

 

Coach Name

 

 

School

 

School Address

 

City & Zip

 

Phone and

email

 

 

 

 

 

Each school may send a JV team for Division B and/or C .

Note: JV teams will be scored for each event they enter, but their scores will not be used to determine medals 
and State placement.

 

If you fax (406-994-3733) this form, please call to verify that we have received it. 
(Toll free phone: 800-455-7837 or 406-994-7476)