* Student's First Name:

* Student's Last Name:

Student's Street Address:

Student's City:

Student's State:

Student's Zip:

School:

District:

Teacher's Name:

* Location of Regional Contest (City):

Bolivar Cassville Cape Girardeau Carl Junction Columbia Edgerton Eureka Hannibal Louisiana Macon Malden Maryville North Kansas City O'Fallon Park Hills Rolla St. Joseph St. Louis Sedalia Springfield West Plains

Date:

March    April

Check the event(s) in which you placed 1st, 2nd or 3rd. Choose your place and grade.

An adult sponsor must accompany this student to the contest and remain at the testing site.
This person may be asked to assist MCTM in conducting the contest.

Sponsor's Name:

Sponsor's Phone:

Sponsor's Street:

Sponsor's City:

Sponsor's State:

Sponsor's Zip:

* Sponsor's Email:

The sponsor is a...

parent
certified teacher
other (please specify)

Entry must be entered no later than April 18, 2008. The sponsor will get a confirmation email.

State T-Shirt Order Form

T-shirts imprinted with a winning design from last year's Math 'n Art Poster Contest will be available at the State Finals Competition for $9 each, when pre-ordered and picked up by 11:00 a.m. Additional T-shirts will be available for purchase on the day of the contest on a first-come-first-served basis for $10. Only those who complete this form at the same time as the Official Entry Form will be assured of receiving a T-shirt. The shirts are made of 50/50 cotton.

Number of T-shirts requested (all are in adult sizes):

1 2 3 4 5 small
1 2 3 4 5 medium
1 2 3 4 5 large
1 2 3 4 5 xl
1 2 3 4 5 XXL

Pay for T-Shirts when you pick them up, not with this order.