Registration for Rockhurst Mathapalooza 2016

By completing the following form you are registering for Mathapalooza at Rockhurst University! To complete your registration you must submit a check for $5 per individual made payable to "Dept of Mathematics, Rockhurst University". The check should be mailed, within one week of completing registration, to:

Zdenka Guadarrama
Department of Mathematics
Rockhurst University
1100 Rockhurst Road
Kansas City, MO 64110

You can also deliver your check at the on-site registration on February 27th, 2016.

Thank you for registering for this event!

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* 1. Are you a high school or college student?

High School

College

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* 2. School Name

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* 3. Please provide your contact information below.

Student Name (First and Last):

Student Email:

Student Mailing Address:

Student Cell Phone Number:

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* 4. If you will be accompanied by a teacher from your school, please fill out the information below, otherwise continue to the next question.

Teacher Name (First and Last):

Teacher Email:

Teacher Mailing Address:

Teacher Cell Phone Number:

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* 5. How did you hear about this event? You may select more than one choice.

From my high-school teacher

From friends who attended Mathapalooza in previous years

I read about it on the Rockhurst Website

I saw a poster/flyier

Other (please specify)

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* 6. Would you like to receive additional information regarding Rockhurst Universtiy?

Yes

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* 7. Would you like to take a tour of Rockhurst University immediately following Mathapalooza on Saturday, February 27?

Yes, I would like to take a tour on Saturday, February 27th, 11:45-12:15.

No, I am not interested.

I'd be interested in a tour at a different time.

Please complete the Photo Release Form found here:
Rockhurst Photo Release Form
Students need to bring the completed form with them on the day of the event.

Thank you for registering!

To complete your registration you must hit the "Done" button below and submit a check for $5 payable to "Department of Mathematics, Rockhurst University". The check should be mailed, within one week of completing registration, to:

Zdenka Guadarrama
Department of Mathematics
Rockhurst University
1100 Rockhurst Road
Kansas City, MO 64110

You can also deliver your check at the on-site registration on February 27th, 2016.

We look forward to meeting you at Mathapalooza 2016!!!