[PHOTO]: IUPUI booth

Science Olympiad

Full Team Registration


Please complete as much of the form as possible.

School Name*:


School Division:



Street Address:


City:


State:


Zip*:


School Phone*:


School Fax*:



Primary Contact Information


Name:


Phone:


Email:



Coaches Attending


Coach 1 -
First Name:

Last Name:


Coach 2 -
First Name:

Last Name:



Students Attending


(1) Name: (F then L)
  

Grade:

Address:  

City:  

State:   Zip:  

Birthday:       




(2) Name: (F then L)
  

Grade:

Address:  

City:  

State:   Zip:  

Birthday:         




(3) Name: (F then L)
  

Grade:

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Birthday:         




(4) Name: (F then L)
  

Grade:

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Birthday:         




(5) Name: (F then L)
  

Grade:

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Birthday:         




(6) Name: (F then L)
  

Grade:

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Birthday:         




(7) Name: (F then L)
  

Grade:

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(8) Name: (F then L)
  

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Birthday:         




(9) Name: (F then L)
  

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Birthday:         




(10) Name: (F then L)
  
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Birthday:         




(11) Name: (F then L)
  

Grade:

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Birthday:         




(12) Name: (F then L)
  

Grade:

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State:   Zip:  

Birthday:         




(13) Name: (F then L)
  

Grade:

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State:   Zip:  

Birthday:         




(14) Name: (F then L)
  

Grade:

Address:  

City:  

State:   Zip:  

Birthday:         




(15) Name: (F then L)
  

Grade:

Address:  

City:  

State:   Zip:  

Birthday:         



Total number of students you anticipate bringing:  

We will participate in the following events:














Questions?

Please call 317-274-7400 or email Maggie McFarlin at mmcfarli@iupui.edu with questions.

For more information on Science Olympiad, please visit the national website at www.soinc.org

IUPUI is Indiana's premier urban research university. The campus enrolls more than 30,000 students in 21 schools and academic units.