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UM-Flint Physics Competition Registration
Teachers, please complete and submit this form to have a student team partici[ate in this event taking place in the Fall 2020 semester. Contact Assistant Professor Biplob Barman at
bbarman@umich.edu
with questions.
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* Indicates required question
School's Name
*
Your answer
Teacher's Name
*
Your answer
Teacher's email
*
Your answer
Teacher's Phone
*
Your answer
Number of students on team (max 4)
*
Your answer
Please indicate the number of Juniors & Seniors on the team (e.g. 1 junior, 3 seniors)
*
Your answer
Student 1 Name
Your answer
Student 2 Name
Your answer
Student 3 Name
Your answer
Student 4 Name
Your answer
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