Future Problem Solving Program of California

FUTURE PROBLEM SOLVING PROGRAM
2008-09 REGISTRATION FORM

Coach		Home phone

School		School phone

Preferred mailing address ( school / home )

City		Zip code

School fax number		School district

Preferred e-mail address

Does your team have more than one coach? Use a separate form for each coach. Duplicate this form as needed.

Registration Fees

Components
Team Problem Solving	$115
Individual Problem Solving	$50
Community Problem Solving (CmPS)	$115
Scenario Writing	Free

Component Divisions
Junior Division	Grades 4-6
Middle Division	Grades 7-9
Senior Division	Grades 10-12

Make checks payable to: California Future Problem Solving

Please send a check or purchase order to:

Ariella Leeder
16404 Sunstone Drive,
San Diego, CA 92127

Questions? Please call: (858) 674-7517

Registration forms are due by: October 3rd, 2008.


Register the following number of teams or individuals in the identified divisions:
#		Amount

	Junior Div. Team Problem Solving	$
	Middle Div. Team Problem Solving	$
	Senior Div. Team Problem Solving	$
	Junior Div. Individual Prob. Solving	$
	Middle Div. Individual Prob. Solving	$
	Senior Div. Individual Prob. Solving	$
	Junior Division CmPS	$
	Middle Division CmPS	$
	Senior Division CmPS	$
	Junior Div. Scenario	$
	Middle Div. Scenario	$
	Senior Div. Scenario	$
Total Due		$