Register for The Elementary Spelling Championship District Information District School Information School Address or Route # City State Zip Contact/Coach Information First Name Last Name E-mail Phone Miscellaneous Information Number of Participants Registration Fee Total ($20.00 per student) Payment Information Please make checks payable to SCOE and mail to address below. Purchase order can be faxed, emailed, or US mailed. Cheryl Goulart SCOE 1100 H Street Modesto, CA 95354 FAX: 238-4277 Email: cgoulart [ahtsym] stancoe [dhotsym] org PLEASE PRINT THIS PAGE BEFORE YOU CLICK SUBMIT & INCLUDE IT WITH PAYMENT