2013 New York City Regional Brain Bee
Saturday, February 9, 2013

REGISTRATION FORM

The competition is open to students in grades 9–12 from the five boroughs of New York City and Westchester County. Participating schools may send up to two competitors. You must register your school using this form by Friday, December 14, 2012, and submit the names of your competitors (via this form or by email to BrainBee@dana.org) by December 21, 2012.

*indicates a required field

*Name of High School:  
*Borough/County:


School contact


*Name:
   
Title:
   
Department:
   
School Address:
   
School City, State, Zip: 
 
Telephone: 
 
*E-mail:


Competitors


Student #1 Name:         
Age:  

Grade:

  

Student #2 Name:         
Age:  

Grade:

  

 

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