2016-17 Oklahoma Science Olympiad Team Registration/Enrollment Question Title * 1. Please provide School name and address and the Science Olympiad Coach contact information. Coach's Name: * School: * Address: * Address 2: City/Town: * ZIP: * Email Address: * Mobile Phone Number : * Question Title * 2. Science Olympiad Division Division B (Middle School) Division C (High School) Question Title * 3. Beginning grade at school 5 6 7 8 9 10 Question Title * 4. Please list the names and email addresses of your assistant coaches Question Title * 5. How many teams will join the Science Olympiad and compete from this school? Remember, teams may have no more that 15 competitors at a competition, but a school can have as many teams as desired. Each team must be a paid member of the Science Olympiad ($60 per team per year) 1 2 3 4 Other (please specify) Question Title The fee for Oklahoma Science Olympiad membership is normally $100 per year per team. ($60 for membership in the National Science Olympiad, $40 for membership in the Oklahoma Science Olympiad). For 2016-17 the State fee is waived. Individual schools may enroll multiple teams for membership in the Science Olympiad. Each team must have a separate paid membership in order to compete in any state or local Science Olympiad tournament and to receive the official Science Oympiad Rules Manual. Deadline for enrollment is December 31, 2016 Please make checks or Purchase Orders for membership ($60 per team) and send a printed copy of this form to: University of Central Oklahoma Attn: V. Hatton/Campus Box 177 100 N. University Drive Edmond OK 73034 memo: Science Olympiad Done