OfficialCityPrep,
Inc. Spelling Bee Registration Form
Elimination Round-Friday,
May 21, 4-7p.m
Spell Down-
Saturday, May 22, 12-4p.m.
Application
Deadline May 14, 2010
Application fee: $10 per applicant/per team member. The fee is $7 for Kumon
students. Please do not send cash, money orders, and checks only. Please submit
your Cosmic Card ID number where required.
Name_________________________________________________________________________
Address_______________________________________________________________________
City, State, Zip
code_____________________________________________________________
Telephone numbers _____________________________________________________________
E-mail address _________________________________________________________________
Parent (s) name and telephone
number_______________________________________________
Mobile telephone _______________________________________________________________
Student’s Grade & Age __________________________________________________________
Cosmic Club ID #_______________________
Competition
class____________________________________________________
If you are part of a team please
1. Name the other two team members and attach a separate application for each.
2. Teams should submit one application package. It should contain: three completed applications (including report cards) and a check for $21.
3. Each team should have a parent coach/leader who will be the contact person for the group.
4.
Please highlight the name of the parent coach on
the first application.
Team member_____________________________________________________
Team member______________________________________________________
School’s name and
address________________________________________________
___________________________________________________________________
Please include a copy of your most recent report card, which verifies that you
are in grades 1-8 and not over 16 years old in the 8th grade.
Parent’s Signature:
__________________________________ I understand that all the
information given regarding my child is true. A report card is attached
which verifies my child's grade and age. I also understand it will not be
returned and will be used for verification and statistical purposes only.
Mail to: OfficialCityPrep, P.O. Box 11392, Detroit, MI 48202 Questions?
Call: (313) 874-5827.
www.CityPrepOnline.com