2017 ASME Egg Drop Registration Form

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2017 ASME Tri-Cities Egg Drop

Registration Form
Submit By Mail, or Register Online at www.ASME-EggDrop.org

Today's Date ________________________


Instructions:
- Fill in all information and submit with your registration form with fee by mail OR visit our website to
register online at www.asme-eggdrop.org
- If paying by check, please make payable to: Holston Section ASME
- If mailing, please send to:
ASME - Holston Section, c/o Brent Porter, P.O. Box 7081, Kingsport, TN 37664
- Individuals - Early Registration is $3 for each entry if submitted & paid for by March 20, 2017. On or
after March 21th, late Registration is $6 for each entry. Payment for additional t-shirts must be included
in registration payment.
- Teams - Early Registration is $5 for each entry if submitted & paid for by March 20, 2017. On or after
March 21th, late Registration is $10 for each entry. Payment for additional t-shirts must be included in
registration payment.

Name: __________________________________ Phone #: ____________________


Email: __________________________________
Category (pick only one):
____ K-5th Grade
____ 6th – 8th Grade
____ 9th – 12th Grade
____ Adult
____ Team: Team Name: __________________________________________
Team Captain Name or School Administrator Contact Information for team:
___________________________________________________________
School name (if applicable): _________________________________________

T-Shirts - For Early Registration Entries:


- One T-shirt is provided to each Individual registration entry at no extra cost.
- Up to two T-shirts per team entry will be provided at no extra cost.
- Additional t-shirts may be purchased in advance for $7 each on this registration form or on the day of
the event (depending on availability). Early Registrants, who have paid their entry fee by March 20,
may pick up their reserved t-shirt at the registration desk on the day of the competition. T-shirt
availability is NOT guaranteed for late registrants – payments for additional t-shirts (excludes
registration fees) will be refunded if shirts are unavailable. Thank you for your understanding. T-shirts
will not be held for no-shows.

Please indicate t-shirt(s) sizes included with registration:


Quantity ________ Size: Youth: S M L Adult: S M L XL
Quantity ________ Size: Youth: S M L Adult: S M L XL

_____________ + ___________________________ = ___________________


Registration Fee cost of additional T-shirts ordered Total Paid

Note: By registering and participating in the Egg Drop you acknowledge that your photo may be taken at the event
and used for event promotion or posted at www.asme-eggdrop.org, sections.asme.org/Holston and
www.facebook.com/asmeeggdrop

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