Online Registration

Please complete the online registration form below. Required fields are indicated with an asterisk. If you have any problems using this online form please contact Dr. Jasminka Terzic.

There is no registration fee for participation in the Western Kentucky Physics Olympics. However, to complete the registration process we require:

a current photo of the coach and each team member, and
a completed photo release form for each team member.

These materials can be electronic files (jpg, png, or gif files for the images) e-mailed to olympics@physics.wku.edu or hardcopies snail-mailed to:

Physics Olympics
c/o Dr. Jasminka Terzic
Department of Physics and Astronomy
Western Kentucky University
1906 College Heights Blvd., #11077
Bowling Green, KY 42101-1077

If you see this don't fill out this input box.

SCHOOL INFORMATION

* School Name

* Coach's Name

* Address

School address will be used to mail contest materials to team.

* Coach's Email

Coach's eMail will be used to send Registration Confirmation

Coach's Phone

Principal's Name

LOCAL NEWSPAPER

Newspaper

Newspaper Address

TEAM NAME

* Team Name

TEAM CAPTAIN

* Team Captain's Name

* Team Captain's Address

* Team Captain's Email

* Team Captain's Phone

* Class

TEAM MEMBER #2

* Team Member #2 Name

* Team Member #2 Address

* Team Member #2 Email

* Team Member #2 Phone

* Class

TEAM MEMBER #3

* Team Member #3 Name

* Team Member #3 Address

* Team Member #3 Email

* Team Member #3 Phone

* Class

TEAM MEMBER #4

* Team Member #4 Name

* Team Member #4 Address

* Team Member #4 Email

* Team Member #4 Phone

* Class

A community of faculty, staff, and students engaged in better understanding the physical world.

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