Registration for Festival at UC Berkeley
Sunday, January 29, 2012, 9:00 am - 12:00 pm

Location: Pauley Ballroom, in the MLK Student Union

Thank you for your interest in the Julia Robinson Mathematics Festival at UC Berkeley.The approximate schedule of the event is:

8:00am Setup (volunteers/staff only)
8:45am Check-in opens
9:00am - 11:50am Mathematical activities
11:50am - 12:00pm Final raffle prizes (must be present to win)


Many thanks to:

The desJardins/Blachman fund, the S.D. Bechtel Jr Foundation,
Cal Teach and the College of Letters & Science at UC Berkeley

For questions or more information, please send e-mail to jrmf@msri.org

School


Students
Students' First and Last Names
(you may list up to ten students)
Grade Level Student E-mail
Student 1
Student 2
Student 3
Student 4
Student 5
Student 6
Student 7
Student 8
Student 9
Student 10


Adult Chaperones
Adult Chaperones' First & Last Names
(list up to three names)
Role E-mail Volunteer?


T-Shirts T-shirts are available for $10 each. If you would like to purchase any T-shirts, please indicate the number below and the total will be added to your registration fee.

Size Quantity
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL


The registration fee for this event is $10 PER STUDENT. You will be taken to the payment page after you click the registration button below. We are using PayPal to collect money from registration fees and T-shirt orders, but you do not need a PayPal account to make a payment.

If you are financially unable to pay the registration fee, you may request to have your registration fee waived. Your registration will still be accepted and the students can still attend the event. However, payment is required for any T-shirts ordered.

Check this box to request a registration fee waiver.

Please alert us to any mobility issues, or
other special needs we should be aware of.
Also feel free to include any comments:

Children under 18 require consent from parent or guardian to fill out this form. Check this box if you have their consent.



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If you are the parent/guardian of a child under the age of 15, and your child has submitted a form and you would like all of your child's personal information removed, please e-mail the webmaster@msri.org to have this information removed from our database. Please include "Personal data removal" as the subject heading and please include the name and e-mail address used by your child on the form in the body of your e-mail message.