Department of Student Programs (DSP) Membership-Participation Form – Indiana Association of School Principals

"*" indicates required fields

School Name*

School Phone #*

Name of Person Submitting this Form*

First

Last

Email of Person Submitting this Form*

Principal Name*

If there is not a Principal in place at this time, please type “TBA” in both the first name and last name fields.

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First

Last

Principal Email*

If there is not a Principal in place at this time, please type YOUR email address in this field so we know that information is reaching someone at the school.

ECA Treasurer Name*

If there is not a Treasurer in place at this time, please type “TBA” in both the first name and last name fields.

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First

Last

ECA Treasurer Email*

If there is not a Treasurer in place at this time, please type YOUR email address in this field so we know that information is reaching someone at the school.

Athletics Treasurer Name*

If there is not a Treasurer in place at this time, please type “TBA” in both the first name and last name fields.

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First

Last

Athletics Treasurer Email*

If there is not a Treasurer in place at this time, please type YOUR email address in this field so we know that information is reaching someone at the school.

Corporation Treasurer Name*

If there is not a Treasurer in place at this time, please type “TBA” in both the first name and last name fields.

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First

Last

Corporation Treasurer Email*

If there is not a Treasurer in place at this time, please type YOUR email address in this field so we know that information is reaching someone at the school.

FOR HIGH SCHOOLS ONLY: Information provided here will be used to contact school personnel regarding our Indiana Academic All-Stars and Rising Stars of Indiana programs.

Guidance Department Contact Name 1

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First

Last

Guidance Department Contact Email Address 1

Guidance Department Contact Name 2

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First

Last

Guidance Department Contact Email Address 2

If you would like to have additional counselors/administrators receive information regarding these 2 programs, please email Chris Hammer at chammer@iasp.org.

School Address*

Street Address

City

State

ZIP Code

Enrollment in each Grade Level Represented in School: (It is important to enter accurate numbers for each grade level in order for us to correctly determine your school’s class. If you are unsure of the current numbers, please check with your administration or guidance department.)

Total Enrollment

Department of Student Programs Membership Fee

Total Enrollment

Elementary Membership

Any building up through grade 6.

Elementary Membership: $55.00

Middle Level Membership

Any building up through grade 8.

Middle Level Membership: up to 350 total enrollment: $135

Middle Level Membership: 351+ total enrollment: $170

Senior Level Membership

Any building up through grade 12.

Senior Level Membership: up to 500 total enrollment: $225

Senior Level Membership: 501+ total enrollment: $345

Academic Competitions

ELEMENTARY

By submitting the coach’s email address, you are subscribing to the mailing list for each contest. This list is used by IASP to communicate important, contest-related information to coaches. Unsubscribing from the mailing list will prevent coaches from receiving important information. Please make sure that all coaches listed below are aware of the need to remain subscribed to the mailing list to receive contest updates and information!

Elementary Spell Bowl

Price:

Add Additional Elementary Spell Bowl Team(s)*

Additional Elementary Spell Bowl Team(s)

Price:
$50.00

Elementary Spell Bowl Coach #1

First

Last

Elementary Spell Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Elementary Spell Bowl Coach?

Elementary Spell Bowl Coach #2

First

Last

Elementary Spell Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Elementary Spell Bowl Coach?

Elementary Spell Bowl Coach #3

First

Last

Elementary Spell Bowl Coach #3 Email

Enter Email

Confirm Email

Elementary Science Bowl

Price:

Add Additional Elementary Science Bowl Team(s)*

Additional Elementary Science Bowl Team(s)

Price:
$50.00

Elementary Science Bowl Coach #1

First

Last

Elementary Science Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Elementary Science Bowl Coach?

Elementary Science Bowl Coach #2

First

Last

Elementary Science Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Elementary Science Bowl Coach?

Elementary Science Bowl Coach #3

First

Last

Elementary Science Bowl Coach #3 Email

Enter Email

Confirm Email

Elementary M.A.T.H. Bowl

Price:

Add Additional Elementary M.A.T.H. Bowl Team(s)*

Additional Elementary M.A.T.H. Bowl Team(s)

Price:
$50.00

Elementary M.A.T.H. Bowl Coach #1

First

Last

Elementary M.A.T.H. Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Elementary M.A.T.H. Bowl Coach?

Elementary M.A.T.H. Bowl Coach #2

First

Last

Elementary M.A.T.H. Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Elementary M.A.T.H. Bowl Coach?

Elementary M.A.T.H. Bowl Coach #3

First

Last

Elementary M.A.T.H. Bowl Coach #3 Email

Enter Email

Confirm Email

JUNIOR

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Junior eSports (Fall Season Only)

Price:

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Junior eSports (Spring Season Only)

Price:

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Junior eSports Coach #1

First

Last

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Junior eSports Coach #1 Email

Enter Email

Confirm Email

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Add Another Junior eSports Coach?

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Junior eSports Coach #2

First

Last

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Junior eSports Coach #2 Email

Enter Email

Confirm Email

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Add Another Junior eSports Coach?

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Junior eSports Coach #3

First

Last

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Junior eSports Coach #3 Email

Enter Email

Confirm Email

Junior Spell Bowl

Price:

Add an Additional Junior Spell Bowl Team*

Additional Junior Spell Bowl Team

Price:

Junior Spell Bowl Coach #1

First

Last

Junior Spell Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Junior Spell Bowl Coach?

Junior Spell Bowl Coach #2

First

Last

Junior Spell Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Junior Spell Bowl Coach?

Junior Spell Bowl Coach #3

First

Last

Junior Spell Bowl Coach #3 Email

Enter Email

Confirm Email

Junior Academic Quiz Bowl

Price:

Add an Additional Junior Academic Quiz Bowl Team*

Additional Junior Academic Quiz Bowl Team

Price:

Junior Academic Quiz Bowl Coach #1

First

Last

Junior Academic Quiz Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Junior Academic Quiz Bowl Coach?

Junior Academic Quiz Bowl Coach #2

First

Last

Junior Academic Quiz Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Junior Academic Quiz Bowl Coach?

Junior Academic Quiz Bowl Coach #3

First

Last

Junior Academic Quiz Bowl Coach #3 Email

Enter Email

Confirm Email

Junior Academic Super Bowl

Price:

Add an Additional Junior Academic Super Bowl Team*

Adding an additional team allows a school to field 1 additional squad in any or all subject rounds based on student interest.

Additional Junior Academic Super Bowl Team

Price:

Junior Academic Super Bowl Coach #1

First

Last

Junior Academic Super Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Junior Academic Super Bowl Coach?

Junior Academic Super Bowl Coach #2

First

Last

Junior Academic Super Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Junior Academic Super Bowl Coach?

Junior Academic Super Bowl Coach #3

First

Last

Junior Academic Super Bowl Coach #3 Email

Enter Email

Confirm Email

SENIOR

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Senior eSports (Fall Season Only)

Price:

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Senior eSports (Spring Season Only)

Price:

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Senior eSports Coach #1

First

Last

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Senior eSports Coach #1 Email

Enter Email

Confirm Email

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Add Another Senior eSports Coach?

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Senior eSports Coach #2

First

Last

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Senior eSports Coach #2 Email

Enter Email

Confirm Email

This field is hidden when viewing the form

Add Another Senior eSports Coach?

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Senior eSports Coach #3

First

Last

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Senior eSports Coach #3 Email

Enter Email

Confirm Email

Senior Spell Bowl

Price:

Add an Additional Senior Spell Bowl Team*

Additional Senior Spell Bowl Team

Price:

Senior Spell Bowl Coach #1

First

Last

Senior Spell Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Senior Spell Bowl Coach?

Senior Spell Bowl Coach #2

First

Last

Senior Spell Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Senior Spell Bowl Coach?

Senior Spell Bowl Coach #3

First

Last

Senior Spell Bowl Coach #3 Email

Enter Email

Confirm Email

Senior Academic Quiz Bowl

Price:

Add an Additional Senior Academic Quiz Bowl Team*

Additional Senior Academic Quiz Bowl Team

Price:

Senior Academic Quiz Bowl Coach #1

First

Last

Senior Academic Quiz Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Senior Academic Quiz Bowl Coach?

Senior Academic Quiz Bowl Coach #2

First

Last

Senior Academic Quiz Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Senior Academic Quiz Bowl Coach?

Senior Academic Quiz Bowl Coach #3

First

Last

Senior Academic Quiz Bowl Coach #3 Email

Enter Email

Confirm Email

Senior Academic Super Bowl

Price:

Add an Additional Senior Academic Super Bowl Team*

Adding an additional team allows a school to field 1 additional squad in any or all subject rounds based on student interest.

Additional Senior Academic Super Bowl Team

Price:

Senior Academic Super Bowl Coach #1

First

Last

Senior Academic Super Bowl Coach #1 Email

Enter Email

Confirm Email

Add Another Senior Academic Super Bowl Coach?

Senior Academic Super Bowl Coach #2

First

Last

Senior Academic Super Bowl Coach #2 Email

Enter Email

Confirm Email

Add Another Senior Academic Super Bowl Coach?

Senior Academic Super Bowl Coach #3

First

Last

Senior Academic Super Bowl Coach #3 Email

Enter Email

Confirm Email

Payment Instructions

Payment may be completed now via Credit Card via PayPal. If you wish to pay by check, an invoice will be emailed to the contact listed in the Treasurer field on this form typically within a week after your membership form is received and processed.

Total

Payment will be made by:*

76198