Name of School

Name of Test Coordinator

Email address*

School Street Address (No Post Office Boxes)

City

Zip Code

Telephone Number 

- - 

Type of School 

Elementary  Middle School Junior High School Senior High School

Grades Entered (Check all that apply.)

Seventh Eighth Ninth Tenth Eleventh Twelfth

Total Enrollment in these Grades  KSHSAA Class*

USD District* Contest League Name*

* if applicable or available