Sonia Kovalevsky High School Mathematics Day
Registration Form

Hosted by
Mississippi State University and
Mississippi University for Women

Sponsored by
The Association for Women in Mathematics and
Mississippi State University
Teacher Information:
Sponsoring teacher's name: __________________________________________________________
Home address: __________________________________________________________
(please include city, state, and zip code) __________________________________________________________
Evening (home) phone number: __________________________________________________________
(please include area code)
e-mail address: __________________________________________________________
Names of other teachers attending: __________________________________________________________
School Information:
School name: __________________________________________________________
School district: __________________________________________________________
School county: __________________________________________________________
School mailing address: __________________________________________________________
(please include city, state, and zip code) __________________________________________________________
School phone and FAX numbers: (Phone):______________________ (FAX):______________________
(please include area code)
Number of students registering from this school: __________________________________________________________
Number of teachers registering from this school: __________________________________________________________
Number of vehicles requiring a parking pass: __________________________________________________________
YES NO May MSU have permission to post your school's name and a link to
your school's web site as a participant? If so, provide the web site
address, and sign below, or have the appropriate school official
sign before returning the registration form.
Web site address: __________________________________________________________
Authorization signature: __________________________________________________________


Complete registration form and mail to:
     Sonia Kovalevsky Day
     Department of Mathematics and Statistics
     Drawer MA
     Mississippi State, Mississippi 39762-9715