Western Regional Moot Court Competition
Please include names of students who will be teammates. Please try not to change teammates if possible.
Coach or Student Representative: _________________________________________________
School or University: _________________________________________________________
Telephone: _________________________________________________________
Cell Phone: _________________________________________________________
Email: _________________________________________________________
Fax Number: _________________________________________________________
First Speaker/Contact Info Second Speaker/Contact Info
1a. _____________________________ 1b. _____________________________
2a. _____________________________ 2b. _____________________________
3a. _____________________________ 3b. ____________________________
4a. _____________________________ 4b. ____________________________
Please return the registration form by November 1, 2009 with a check made payable to CSULB for $75 per team. Applications received after November 1, 2009 should be accompanied by check for $150 per team. Please be aware that we may have to limit the number of teams per school due to logistical concerns. Late entries risk not being accepted. Please wait for confirmation of an invitation before booking non-refundable flights, etc.
Please mail the check and this form by November 1, 2009 to:
Dr. Lewis S. Ringel
Department of Political Science
1250 Bellflower Blvd.
CSULB
Long Beach, CA 90840