2018 Raritan Valley Math Second Annual Contest Registration Form

2018 Raritan Valley Math Second Annual Contest

Venue: Raritan Valley Community College
Date: March 17th, 2018

Please note all registration must be submitted online.

Student Information

Student Name *

First Name Last Name

Grade: *

Gender

Female Male

Date of Birth: *

- Month - Day Year

Address *

Parent/Guardian Information

Parent/Guardian Name *

First Name Last Name

Parent/Guardian E-mail *

Mobile *

Home Phone

Fun Activities with Additional Prizes

In order to maximize the fun and learning experience, please consult your child regarding which one he/she is most likely interested in attending.

Please select one: *

Will attend the following after contest activities. Will not attend any of the after contest activities.

Sudoku/Math Challenge

Very Interested Interested Not Interested

Robotics Algorithms Presentation

Very Interested Interested Not Interested

Speed Chess

Very Interested Interested Not Interested

Rubik's Cube Challenge

Very Interested Interested Not Interested

Food Order

In order to minimize traffic during check-in time, please enter # of slices of pizze you would like to pre-order : $2.25 / slice

# of slices (Plain cheese):

optional

Please note that Contest Admission is on rolling-basis. Seat is reserved only after full payment is received.

Payment Method: *

Credit Card (Enter new CC info) Check Payment

Total (Due Now):

I am Not a Robot!

Submit button will be available after you have:
** selected a State and its Capital City first below.
**read and check to agree to the Terms below.

I Have Read and .. *

Select a State *

Select its Capital City *

Registration Date:

. Year . Month Day