2021 National Championships – US Geography Championships (Middle/Elementary)

Parent/Guardian Name*
First Last
Parent/Guardian Email*
If you are a teacher filling out this form, we still need the email address of the student's parent.
Teacher Name
First Last
Teacher Email
Student Name*
First Last
Student's School/Homeschool Affiliation*
This should be the student's school in the 2020-2021 academic year. If the student is homeschooled in an association, list the name of the association. If the student is homeschooled with no affiliation in an association, just write “Homeschool”.
School/Homeschool City and State*
If a student is homeschooled, put the name of the city the student lives in regardless of whether the homeschool association is based in another city.

City State
Student's 2020-2021 Grade Level*
Event Registration*
Total
$0.00
Credit Card or Debit Card*

Card Details

Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code
Shipping Address (if different from Billing Address)
This is for awards to students.

Street Address Address Line 2 City State ZIP Code