Regional Science Olympiad School Registration

District

School Namerequired

Divisionrequired

School Address or Route Mail

Registration Fee Total ($100 per team)

Coach/Contact Namerequired

First Name

Last Name

Team Color (If more than one team use a color) ie: Stanislaus Blue, Stanislaus Gold

Phone

Email Addressrequired

$100 Per Team Registration Fee - Please make checks payable to SCOE and mail to address below. Purchase Order can be faxed, e-mailed or US mailed.

Cheryl Goulart

c/o SCOE

1100 H Street

Modesto, CA 95354

Fax: 209-238-4277

E-mail: cgoulart@stancoe.org