30th Annual National Academic Championship

Registration form

Note: We would prefer that you not print out and mail in this form, but rather fill it out and just click "Submit Query" at the bottom.


School Name:

Address:

City: ___State ___Zip

Telephone

Principal's Name

Coach's Name

Home address

City: ___State ___Zip

Home phone

Email address
Note: Don't leave this blank.

How did you qualify? (Give location, sponsor, & date of tournament):




Check here if you are claiming "small school" status. (defined as any school with 500 or fewer students in grades 10-12 and a non-selective admissions policy)

Choice of Location:

New Orleans, May 26 - 28

Washington, D.C., June 1 - 3

Chicago , June 9-11

Team level:

Varsity

JV (see definition of JV)

Please list all persons coming to the 28th AnnualNational Academic Championship and indicate whether they are Adult/Male, Adult/Female,Student/Male, or Student/Female.	Entry Only	Entry, Rooms & Meals 3-night plan at Loyola	Entry, Rooms & Meals 2-night plan at Loyola
	(Please	see fee	schedule)
1. Captain:
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Total Amount I'm sending:

Estimated time of arrival at competition site :
Note: Don't leave this space blank. Let us know by May 15 if this ETA will change.

For your convenience and enjoyment while you're at Nationals, you are welcome to choose one time frame, below, during which you DO NOT WANT YOUR GAMES SCHEDULED, for the purpose of sightseeing or for any other reason. You needn't choose any time slots if you have no preference.

First competition day, morning		First competition day, afternoon		First competition day, evening
Second competition day, morning		Second competition day, afternoon		Second competition day, evening

Make check(s) to National Academic Championship and mail to:
National Academic Association
2908 W. Crestwood Dr., Ozark, MO 65721