Register for the Academic Pentathlon 1 Start 2 Complete District Information District School Information School Address or Route # City State ZIP Contact/Coach Information First Name * Last Name * E-Mail Phone Miscellaneous Information Team Color (if two teams) Registration Fee Total ($100) * Payment Information Please make checks payable to SCOE and mail to address below. Purchase Order can be faxed, e-mailed or US mailed. Cheryl Goulart SCOE 1100 H Street Modesto, CA 95354 FAX: 238-4277 E-MAIL: cgoulart [ahtsym] stancoe [dhotsym] org Please PRINT this page before you click SUBMIT & include it with payment
