Moorefield Station Odyssey of the Mind
2018-2019 Registration Survey

The number of participating students will depend largely on the number of volunteers willing to help coach the teams. Students will be placed in teams will meet at a location and times agreed upon by the coaches.

Please Note: Registration in the program does not guarantee participation. If you want to ensure your child will be able to participate in the program we strongly encourage you to volunteer to coach.

You must be a member of the PTO in order for your child(ren) to participate in Odyssey of the Mind.
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Student First Name *
Student Last Name *
Student Nickname
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Grade *
Child's Teacher
What size t-shirt does your child wear? *
Is this your child's first time doing Odyssey?
Clear selection
If your child participated in Odyssey before, who was his/her coach?
Which problems are you interested in? *
Check all that apply (for more information see https://www.odysseyofthemind.com/2019-long-term-problem-synopses/)
Required
Primary Contact *
Mother's First and Last Name *
Mother's phone number (best number to call) *
Mother's email address *
Would this email address like to receive emails from the OotM coordinator? *
Father's First and Last Name *
Father's email address *
Father's phone number (best number to call) *
Would this email address like to receive emails from the OotM coordinator? *
Guardian's First and Last Name
Guardian's phone number (best number to call)
Guardian's email address
Would this email address like to receive emails from the OotM coordinator?
Clear selection
Neighborhood:
Parent Volunteer Interest *
Every team must have a coach, a volunteer and a judge. The best way to ensure that your child is placed on a team, is to support the program by volunteering for one of these positions.
Required
If interested in coaching, please indicate your t-shirt size:
My child is available to participate in Odyssey meetings at these times: *
(Odyssey is an extra-curricular activity and does not take place during school hours. Weekday mornings/early afternoon would only be options for KG teams.)
Morning
Afternoon
Evening
Morning & Afternoon
Afternoon & Evening
Morning & Evening
Morning, Afternoon, & Evening
Not available this day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Is your child allergic to/frightened of any pets?
(This answer is optional but might be useful for team placement.)
Clear selection
Is there anything else we should know?
If you volunteered to host meetings in your home, feel free to add a description of the the available space (i.e. an unfinished basement, the garage, the dining room, the living room, etc).
I acknowledge that registering my child does not guarantee placement on an Odyssey of the Mind Team.  If my child is placed on a team, payment of $80 will be due within two weeks.
I acknowledge that I must be a PTO member in order to have my child(ren) participate in Math Olympiad
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