Junior 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):

Choice of Location:

New Orleans, May 26 - 28

Washington, D.C., June 1 - 3

Chicago , June 9-11

Please list all persons coming to the Junior National 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:
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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 cross-out 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 cross-out 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