12
th
Annual Academic Competition
Saturday, May 13
th
, 2017 / 8:30 AM – 3:30 PM
LMC Gymnasium
Team Application
All team members must be currently enrolled students.
All team members must be present on the day of competition in order for the team to compete.
All event information will only be sent to the Team Leader’s email address.
Leader of the team: _____________________________________ Team name: ________________________________
Team Leader’s email: ___________________________________
Name: ______________________________________________ Student ID #: ____________________
Address: ___________________________________ City: ________________ Zip: ______________
E-Mail: ________________________________________ Phone: __________________________
T-Shirt Size (circle one): S M L XL XXL Dietary Restrictions: ______________________
Name: ______________________________________________ Student ID #: ____________________
Address: ___________________________________ City: ________________ Zip: ______________
E-Mail: ________________________________________ Phone: __________________________
T-Shirt Size (circle one): S M L XL XXL Dietary Restrictions: ______________________
Name: ______________________________________________ Student ID #: ____________________
Address: ___________________________________ City: ________________ Zip: ______________
E-Mail: ________________________________________ Phone: __________________________
T-Shirt Size (circle one): S M L XL XXL Dietary Restrictions: ______________________
Name: ______________________________________________ Student ID #: ____________________
Address: ___________________________________ City: ________________ Zip: ______________
E-Mail: ________________________________________ Phone: __________________________
T-Shirt Size (circle one): S M L XL XXL Dietary Restrictions: ______________________
Registration forms must be turned in to the Office of Student Life (GA Building) by Thursday, May 4
th
, 2017
If you need more information, please contact the Office of Student Life (GA Building) or (925) 473-7554 or email studentlife@losmedanos.edu