Team Member Registration

Academic WorldQuest 2012

Team Members Registration

Saturday, March 24, 2012, 9:30 a.m.

at the

Henry A. Wallace Visitors and Education Center of the

Franklin D. Roosevelt Presidential Library, Hyde Park, NY

(Snow date: March 25th at 1:30 p.m.)

This form must be submitted to the World Affairs Council no later than March 15, 2012
 

School:  

Coach/Advisor:  

 Email:

STUDENTS’ NAMES

 GRADE

E-MAIL

as they should appear on their certificates
Up to five students may be registered.

 

12 

11 

10 

9 

 

12 

11 

10 

9 

 

12 

11 

10 

9 

 

12 

11 

10 

9 

 

12 

11 

10 

9 
PLEASE NOTE: If you register 5 players, on the date of the competition one must be designated
as an alternate who can only be substituted in the event of an emergency.
        

You should print a copy of this page. You may print and return this form no later than February 25, 2011 to the World Affairs Council of the Mid-Hudson Valley, Inc. at:

World Affairs Council of the Mid-Hudson Valley, Inc.

Joe Lombardi
469 Rossway Rd.,

Pleasant Valley, NY 12569

If you haven’t registered your TEAM yet, please click HERE

For additional information contact Joe Lombardi at the above address or by Email: jolnyusa@yahoo.com