North Dakota MathCounts

Fields marked (*) are required.

1. Participant type *

   Individual Team
2. Region *
3. County *
4. First name *
5. Last name *
6. Gender

   Male Female
7. Age *
8. Grade *
9. School name *
10. School address *
11. Name(s) of parent(s) *
12. Parent(s) address*
13. Phone number *
14. Email *
15. MathCounts coach (will go to DC if participant wins) *
16. Number of sisters
17. Number of brothers
18. Favorite subjects *
19. Hobbies *
20. Number of years of previous participation in State MathCounts *
21. Please list years separated by commas