ACSL
2011-2012 REGISTRATION FORM
10 Brisas Drive
West Warwick RI 02893

All fees are in US dollars. Payment or a purchase order must accompany all orders. Register between September 1 and December 1, 2011. Contact ACSL at info@acsl.org.

School_____________________________________

School Address: Street________________________

City_____________________State/Province_______

Zip/Postal Code/Country______________________

School Phone: Area Code ____ Tel ._____________

Home Phone: Area Code____ Tel._____________

Advisor:___________________________________ CSTA (Y/N)______

E-mail address:______________________________
Registration: See the "DIVISIONS" section for more information.
 Classroom 5
 Junior 5
 Senior/5 or  Senior/3
 Intermediate/5 or  Intermediate/3
Previous Years' Contest Books:
 Sr., Int. and Jr. 2010 - 2011 ($20) on CD – VOL 33
 Sr., Int. and Jr. 2009 - 2010 ($20) on CD – VOL 32
 Sr., Int. and Jr. 2008 - 2009 ($20) on CD – VOL 31
 Sr., Int. and Jr. 2007 - 2008 ($20) on CD – VOL 30
 Sr., Int. and Jr. 2006 - 2007 ($20) on CD – VOL 29
 Sr., Int. and Jr. 2005 - 2006 ($20) on CD – VOL 28
 Sr., Int. and Jr. 2004 - 2005 ($20) on CD – VOL 27
 Sr., Int. and Jr. 2003 - 2004 ($20) on CD – VOL 26
 Sr., Int. and Jr. 2002 - 2003 ($20) on CD – VOL 25
Only one team per division is alowed:
1 Team $125, 2 Teams $225, 3 Teams $300, 4 Teams $350

TOTAL PAYMENT DUE:___________