2011-12 OAAC Enrollment Form

School District

for School Site

Attention

Address

City State Zip

PO Number

If your PO# is pending - put pending in PO# box.

Total Amount Due

0 1 2 3 4 4th Grade Academic Bowl Team(s) @$70

0 1 2 3 4 5th Grade Academic Bowl Team(s) @$70

0 1 2 3 4 Upper Elementary Series Academic Bowl Team(s) @ $105

0 1 2 3 4 Mid Level Series Academic Bowl Team(s) @ $125

0 1 2 3 4 Froshmore Series @ $135

0 1 2 3 4 Primary team(s) @ $80

0 1 2 3 4 Elementary team(s) @$90

0 1 2 3 4 Mid Level team(s) @ $110

0 1 2 3 4 JVHS team(s) @ $120

0 1 2 3 4 HS team(s) @ $130

0 1 2 3 4 Elementary team(s) @ $55

0 1 2 3 4 Mid level team(s) @ $55

0 1 2 3 4 High School team(s) @ $55

0 1 2 3 4 Trivia team(s) @ $25

Team Name(s)

Coach 1

Name

School Site

Mailing Address

Physical Address (UPS)

City State Zip

Telephone Include area code and extension (if any)

Fax

e-mail

verify e-mail The values don't match.

For which teams will you be responsible?

Home or Cell phone number

May I have your permission to share your information with other coaches?

Coach 2

Name

School Site

Mailing Address

Physical Address (UPS)

City State Zip

Telephone Include area code and extension (if any

Fax

e-mail

verify e-mail The values don't match.

For which teams will you be responsible?

Home or Cell phone number

May I have your permission to share your information with other coaches?

Coach 3

Name

School Site

Mailing Address

Physical Address (UPS)

City State Zip

Telephone Include area code and extension (if any)

Fax

e-mail

verify e-mail The values don't match.

For which teams will you be responsible?

Home or Cell phone number

May I have your permission to share your information with other coaches?

Coach 4

Name

School Site

Mailing Address

Physical Address (UPS)

City State Zip

Telephone Include area code and extension (if any)

Fax

e-mail

verify e-mail The values don't match.

For which teams will you be responsible?

Home or Cell phone number

May I have your permission to share your information with other coaches?