North Dakota MathCounts

Fields marked (*) are required.

General Information

1. School Name *
2. Region *
3. County *
4. School/Superintendent Phone Number *

MathCounts Participant’s Package

1. Number of MathCounts participants 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Participant #1 name
Add Participant #1 Lunch ticket ($10.00 each)
Yes

No
Participant #1 adult lunch tickets ($15.00 each) 0 1 2
Participant #2 name
Add Participant #2 Lunch ticket ($10.00 each)
Yes

No
Participant #2 adult lunch tickets ($15.00 each) 0 1 2
Participant #3 name
Add Participant #3 Lunch ticket ($10.00 each)
Yes

No
Participant #3 adult lunch tickets ($15.00 each) 0 1 2
Participant #4 name
Add Participant #4 Lunch ticket ($10.00 each)
Yes

No
Participant #4 adult lunch tickets ($15.00 each) 0 1 2
Participant #5 name
Add Participant #5 Lunch ticket ($10.00 each)
Yes

No
Participant #5 adult lunch tickets ($15.00 each) 0 1 2
Participant #6 name
Add Participant #6 Lunch ticket ($10.00 each)
Yes

No
Participant #6 adult lunch tickets ($15.00 each) 0 1 2
Participant #7 name
Add Participant #7 Lunch ticket ($10.00 each)
Yes

No
Participant #7 adult lunch tickets ($15.00 each) 0 1 2
Participant #8 name
Add Participant #8 Lunch ticket ($10.00 each)
Yes

No
Participant #8 adult lunch tickets ($15.00 each) 0 1 2
Participant #9 name
Add Participant #9 Lunch ticket ($10.00 each)
Yes

No
Participant #9 adult lunch tickets ($15.00 each) 0 1 2
Participant #10 name
Add Participant #10 Lunch ticket ($10.00 each)
Yes

No
Participant #10 adult lunch tickets ($15.00 each) 0 1 2
Participant #11 name
Add Participant #11 Lunch ticket ($10.00 each)
Yes

No
Participant #11 adult lunch tickets ($15.00 each) 0 1 2
Participant #12 name
Add Participant #12 Lunch ticket ($10.00 each)
Yes

No
Participant #12 adult lunch tickets ($15.00 each) 0 1 2
Participant #13 name
Add Participant #13 Lunch ticket ($10.00 each)
Yes

No
Participant #13 adult lunch tickets ($15.00 each) 0 1 2
Participant #14 name
Add Participant #14 Lunch ticket ($10.00 each)
Yes

No
Participant #14 adult lunch tickets ($15.00 each) 0 1 2
Participant #15 name
Add Participant #15 Lunch ticket ($10.00 each)
Yes

No
Participant #15 adult lunch tickets ($15.00 each) 0 1 2

Teacher’s Packet

1. Number of teachers attending 0 1 2 3 4
2. Number of Teacher Lunch Tickets ($15.00 each) 0 1 2 3 4
3. First teacher name
4. Second teacher name
5. Third teacher name
6. Fourth teacher name

County Superintendent/Coordinator

1. Will the superintendent/coordinator be attending this competition? * Yes No
Coordinator name

Add lunch ticket ($15.00)

Yes

No