Student First Name: Student Last Name: Student Mailing Address: Student Birth Date: (mm/dd/yyyy) Student Email Address: (optional) School: (Sept 1, 2011) Grade Teacher/Team (if known) Eli Terry Orchard Hill Pleasant Valley P.R. Smith Wapping Timothy Edwards Two Rivers Private School Home School 3 4 5 6 7 8 I give permission for my child to receive emails from the South Windsor Spelling Bee Parent First Name: Parent Last Name: Parent/Guardian Mailing Address: Parent Phone Number: Parent Email Address: (very important - all announcements will be by email) I give permission for sponsors to send me up to 3 special email offers during the Spelling Bee only Alternate Parent First Name: Alternate Parent Last Name: Alternate Parent/Guardian Mailing Address: Alternate Parent Phone Number: Alternate Parent Email Address: I give permission for my child to compete in the South Windsor Spelling Bee I give permission for my child's name to be used in the Spelling Bee Program Book and their photo to be taken for media use. Any Special Comments for the Spelling Bee Staff Press the Submit button to complete your registration After you press the Submit button, an email confirmation will be sent to you. Please print the form before exiting.