Team Member Registration

Academic WorldQuest 2013

Team Members Registration

Saturday, March 2, 2013, 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 3rd at 1:30 p.m.)

This form must be submitted to the World Affairs Council no later than Feb 15, 2013
 

      School
 
 Coach/Advisor 
 E-mail

STUDENTS’ NAMES AND GRADE

E-MAIL

Names as they should appear on their certificates
Up to five students may be registered.
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 15, 2013 to the World Affairs Council of the Mid-Hudson Valley, Inc. at:

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

C/O Karen Nichols
105 Forest Valley Road Pleasant Valley, NY 12569

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

For additional information contact Karen Nichols at the above address or by Email: nichols@hvworldaffairscouncil.org or by Phone: 845-635-1134