San Joaquin County Office of Education

Math Tournament

March 24, 2018  Grades 4-6

Intent to Participate

Due Friday, December 1, 2017

Please save this form to your desktop and fill in ALL the necessary information.

The completed form can be e-mailed to or mailed to SJCOE/Math Department, P.O. Box 213030, Stockton, CA 95213-9030.

PLEASE DO NOT FAX.

Coach’s Name: / Cell Phone:
Coach’s Email:
School Name: / District:
Address: / City:
School Phone: / Zip:
# of Teams: / 1 Team: Check this box for team 1.
If space is available, I would like to bring a 2nd Team:
Check this box if you want to be placed on the list to bring a 2nd team.

Please fill out ALL required information.

 Space is limited.

 Schools may register one team to participate, with the option of an additional team based on space availability. Please mark “I would like to bring a 2nd Team”

IF you wish to be placed on the list for a 2nd team.

 Second teams will be chosen based on the date and time of submission of the request. You will be notified after December 1, 2017 if your request for a second team can be accommodated.

 Sample problems will be emailed to you for use in coaching your students.

DUE DATES:

Registration fee ($60 per team): February 23, 2018

Team Roster (5 students with up to 2 alternates): February 23, 2018

Student Permission Forms: March 16, 2018