2019 High School Actuarial Day Registration

School Name *

Coordinator Name *

Phone *

Email *

Number of students (max 32) *

Grade Levels of Students (Check all that apply) *Freshman
Sophomore
Junior
Senior

% of group who have completed or are currently enrolled in Algebra I *

% of group who have completed or are currently enrolled in Algebra II *

% of group who have completed or are currently enrolled in Geometry *

% of group who have completed or are currently enrolled in a math course higher than Algebra II (Ex. Statistics, Pre-Calculus, etc.) *

The event sponsors are providing bus transportation. Will your group require a bus? *Yes
No

Additional Comments