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* 1. Please provide School name and address and the Science Olympiad Coach contact information.

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* 2. Science Olympiad Division

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* 3. Beginning grade at school

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* 4. Please list the names and email addresses of your assistant coaches

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* 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)

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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

<div style="text-align: left;">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. &nbsp;Individual schools may enroll multiple teams for membership in the Science Olympiad. <span style="text-decoration: underline;">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</span>. &nbsp;Deadline for enrollment is December 31, 2016</div> <br>Please make checks or Purchase Orders for membership ($60 per team) and send a printed copy of this form to:<br><br> <div style="text-align: center;"><span style="color: #800000;">University of Central Oklahoma</span></div> <div style="text-align: center;"><span style="color: #800000;">Attn: V. Hatton/Campus Box 177</span></div> <div style="text-align: center;"><span style="color: #800000;">100 N. University Drive</span></div> <div style="text-align: center;"><span style="color: #800000;">Edmond OK 73034</span></div> <div style="text-align: center;"><span style="color: #800000;">memo: Science Olympiad<br><br><br></span></div>

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