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| Address of School: | |
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| Phone Number of School: | |
Category of Competition (circle one) | GRADE 6 | GRADE 7 | GRADE 8 | | |
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| Topic Release & EGGsam Date (circle one) | 12-Apr | 13-Apr | 14-Apr | 15-Apr | 18-Apr | Topic Release | | |
26-Apr | 27-Apr | 28-Apr | 29-Apr | 2-May | EGGsam Date | | |
| EGGsam Format (circle one) | ONE DAY EXAM or TWO DAY EXAM | |
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Team Name: | |
Name of Instructor/Coach: | |
E-mail address of Instructor/Coach: | |
Name of Administrator: | |
Signature of Administrator: | |
Date: | |
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EGGnoggin Team Roster |
Team Members |
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Multiple teams from the same school each require a separate registration form. | | Submission Instructions | | | | | | | | | | 1 | Please make a paper copy of this form, complete, and remit with registration fee to: | | | | | | | | EGGnoggin/Amy Batzel | | | | | | | | | | | 211 Foor Road | | | | | | | | | | | Hopewell PA 16650 | | | | | | | | | | 2 | Send an electronic copy of the form, via e-mail, to admin@eggnoggin.net. | | | | | | | 3 | Please remember to have an administrator sign off on this form. | | | | | | | |
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