2013 CSULB Math Day at the Beach Registration Form Name of school: Mailing address of school: Name and email address of person submitting this form: Person submitting this form is (select one): (teacher, student, parent, other) Name of teacher (or other adult) who will accompany team: Email address and phone number of that teacher (or other adult): Names of competing students. On each line, give name, grade level, and whether male or female. Example: Jane Doe, 11, F 1. 2. 3. 4. 5. 6. Please fill in the information above and email it to Dr. Kent Merryfield at Kent.Merryfield@csulb.edu Eligibility for CSULB Math Day at the Beach Registration is by school, with each school sending one 6 member team. Eligible schools must be high schools (or schools that include the high school grades) located in one of the following California counties: Santa Barbara, Ventura, Kern, Los Angeles, Orange, Riverside, or San Bernardino. A team must be accompanied by an adult (preferably a teacher at the school.) All participants must be 9th, 10th, 11th, or 12th grade students at that school. Registration for unaffiliated individuals is possible only under very specific circumstances. The student must be in the 9th, 10th, 11th, or 12th grade in the counties listed above, at a school that does not send a team (or homeschooled), and the student must be a regular participant in the activities of the Southern California ARML Team. Dr. Merryfield will arrange such students into teams, but such independent teams are not eligible for any team prizes. The students will be eligible for individual prizes. To register as an independent, contact Dr. Merryfield.