SPCC 2019-2020 Regional Championship Registration Form

Fill out the form below to register for the Regional Championship.

Registration Details

Primary Contact Information

Alternate Contact Information

Registration Details

If you have already scheduled your Regional Competition, please enter the dates below in order to coordinate the shipment of chemicals.

If you have not confirmed the dates for your Regional Competition, please provide some approximate dates below (e.g., mid-October, November 20-24, etc.)

Each team must include 3 students (there is a maximum of 12 teams).

Shipping Information

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Authorized Signature

If different from the Primary Contact Information above.

Submission

Please review the information above and click the "Submit Registration" button below. Thank you!


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