WordMasters Challenge
Enrollment Form
(Please print this form, fill it out, and fax or mail it to us at the
address on the
bottom of this page.)
2010-2011 High School Enrollment Form
| Name of school: | ________________________________________________________ |
| Address: | ________________________________________________________ |
| City, State & Zip: | ________________________________________________________ |
| Telephone: | ________________________ |
| Supervisor (teacher to receive mailings):
Supervisor's e-mail address: __________ |
______________________________________
______________________(please print legibly!) |
____ Please enroll our _____(9th or 10th) grade in the Blue Division Challenge for 2009-2010. (The fee is $97 for one grade.)
____ Please enroll our 9th and 10th grades in the Blue Division Challenge for 2009-2010. (The fee is $179 for both grades.)
____ Please enroll our ____ (11th or 12th grade in the Gold Division Challenge for 2009-2010. (The fee is $97 for one grade.)
____ Please enroll our 11th and 12th grades in the Gold Division Challenge for 2009-2010. (The fee is $179 for both grades.)
Total fee before shipping: ____________
Add 8% for shipping: ____________ (Shipping fee covers 4 mailings per year of contest materials and meet reports, one mailing of medals and certificates, and a year-end mailing announcing cumulative results.)
Total Fee: _______________
This form may be duplicated. Please return no later than
September 30, 2010 to WordMasters, 213 East Allendale Ave., Allendale, New
Jersey 07401. You may also fax the form to (201) 327-6219.
__________________________________________________________________________
Word MastersChallenge / 213 E. Allendale Avenue
/ Allendale, NJ 07401
(201) 327-4201 phone / (201) 327-6219 fax
