Form

Rose-Hulman High School Mathematics Contest

Saturday, November 12, 2012
School*
with School

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Sponsoring Faculty*
E-mail*
Phone Number*
- Area Code Phone Number

Freshmen

(NOTE: no gender limitations)
FR. 1
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FR 2.
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FR 3.
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FR 4.
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Sophomores

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SO 1.
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SO 2.
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SO 3.
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SO 4.
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Juniors

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JR 1.
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JR 2.
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JR 3.
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JR 4.
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Seniors

(NOTE: no gender limitations)
SR 1.
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SR 2.
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SR 3.
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SR 4.
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Alternate Freshmen
Alt. FR 1.
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Alt. FR 14.
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Alternate Sophomores
Alt. SO 1.
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Alternate Juniors
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Alt. JR 12.
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Alt. JR 13.
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Alt. JR 14.
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Alternate Seniors
Alt. SR 1.
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Alt. SR 2.
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Alt. SR 3.
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Alt. SR 4.
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Alt. SR 5.
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Alt. SR 6.
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Alt. SR 9.
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Alt. SR 11.
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Alt. SR 12.
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Alt. SR 13.
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Alt. SR 14.
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Additional alternates

Registration Fee (@ $3.00/person)
@ $3.00/person
Lunch Tickets (RHIT @ $6.00/person)
@ $6.00/person
Please send registration information by Friday, October 26, 2012.
Please send payment to:

Michelle Prather

Department of Mathematics

Rose-Hulman Institute of Technology

5500 Wabash Ave.

Terre Haute, IN 47803-3999

Make checks payable to Rose-Hulman Institute of Technology.
NOTE: No student will be allowed to participate in the contest unless the registration fee has been paid by Saturday, November 10, 2012.
I would like a copy of the questions for the last two years.

Yes No
**Remember: If your school is not a four year school and your team has members from two schools, please list both schools.
You will receive a confirmation email shortly after submitting the form.
Should be Empty: