2024 VAAPA MATHCOUNTS REGISTRATION
Event Date: Saturday, May 4, 2024
Event Time: 8:00 AM - 1:00 PM
Event Location: Johnson Middle School
Event Address: 13603 Edwards Street, Westminster, CA  92803
Contact us at (714) 642-9590  or  vaapa1999@gmail.com

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STUDENT INFORMATION 
Student First Name *
Student Last Name *
School *
Student Grade on January 27, 2024
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Team Members  (optional)  - You can form a team of up to 4 students of  your choice.  In the space below, enter names of you teammates.  Example: If you're Alex Nguyen.  you'll enter "Cindy Tran, Andrew Green, Matthew Le".   Your teammates will also enter your name when they sign up.   Example: Cindy Tran will enter "Alex Nguyen, Andrew Green, Matthew Le".  Make sure all teammates are signed up individually.
T-shirt size
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PARENTS INFORMATION
Parent/Guardian First Name *
Parent/Guardian Last Name *
Relation to Student
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Contact Phone Number *
Parent/Guardian Email Address *
WAIVER OF LIABILITY -  
I hereby give my consent for the participant named above to participate in the 2024 VAAPA Mathcounts Competition which will be held at Johnson Middle School on Saturday, January 27, 2024. On behalf of myself, my heirs, executors, administrators, and assigns, I hereby waive and release any and all rights and claims for damages I may have against VAAPA as well as any other persons connected with this VAAPA Mathcounts Competition, for any and all injuries which the participants named above may suffer while taking parts in this competition or as a result thereof.
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USE OF IMAGES - VAAPA and other parties may use your student’s images at the Mathcounts Competition on future promotional and other materials.

I here by grant permission to VAAPA and other parties to use my student's images
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PARTICIPANT NO-SHOW POLICY -  If you are confirmed for the event but cannot make it as planned, you are required to cancel your registration at least 48 hours before the event start time so we can give the open spot to the next student on the waiting list. If you fail to show up to the event without proper notification, you will be blocked from our future events. *
A copy of your responses will be emailed to the address you provided.
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