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2023 Science Olympiad Registration
NOTE: Each team requires its own registration.
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Total Registration Amount Due: See website
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Your answer
Type of Payment
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**ALL payments must be submitted by January 31. Checks need to be made payable to "Mississippi Science Olympiad."
PO (emailed to
allison.downing@usm.edu
)
Check (mailed: 118 College Dr, Box 5087, Hattiesburg, MS 39406)
Purchase Order Number (If Applicable)
*
If sending a check, please mark "N/A." If your PO is not yet ready, please type "Email," or "Bringing to workshop."
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Purchase Order Bookkeeper's Name (If Applicable)
*
If sending a check, please mark "N/A"
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Purchase Order Bookkeeper's Email Address (If Applicable)
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If sending a check, please mark "N/A"
Your answer
Purchase Order Bookkeeper's Phone Number (If Applicable)
*
If sending a check, please mark "N/A"
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Which Division will you be registering your team under?
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Division B (6-9)
Division C (9-12)
Which regional will your team(s) attend?
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North Regional (Friday, Feb 10 @ Itawamba Community College, Fulton)
Southwest Regional (Saturday, Feb 18 @ CoLin Community College, Natchez)
Gulf South Regional (Friday, Feb 10 @ Pearl River Community College, Poplarville)
Required
Head Coach
*
Each team must have its own head coach (multiple teams from the same school will have different head coaches).
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Head Coach Contact Email
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Your answer
Additional Coach (Optional)
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Additional Coach Email
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School Name
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Your answer
School Street
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Your answer
School City
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Your answer
School Zip Code
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School Phone Number
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