Super Saturday Registration - Bossier - Louisiana Destination Imagination

Super Instant Challenge Saturday-- January 23, 2016
Fill out and submit one form for each team prior to Dec 18, 2015. Before you submit each form, print the page for your school records and to submit with your check. The Super Saturday fee is $50 per team, made out to LA DI, and must be mailed NLT Jan 11, 2016, to:
     Nancy Farley
     J.S. Clark Magnet School
     1207 Washington Street
     Monroe, LA 71201
Alternately, you may present a school check at the event. If you choose this option, call, e-mail or write Nancy Farley NLT 11 Jan 2016.

Super Instant Challenge Saturday Registration
This form due NLT Dec 18 to enable construction. Payment must be mailed by Jan 11, or, with approval from LA DI, a school check may be brought to the event. Please, use normal capitalization when filling out your form.

* Indicates required field

School Name *

Age Level (Select One) *

Challenge Name (Select One) *

Team DI Membership Number *

Session *

Scheduling

Super Saturday prefers that Elementary teams choose earlier sessions, with Middle School and High School teams in the afternoon. However, if you need a different time because of distance or other special need, go ahead and select the session that works for your team and note it in the comments section.

Special Scheduling Request in Comments (Choose One) *

Yes No

Comments *

Team Manager Name *

First

Last

School Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Phone Number *

Work Phone Number *

Super Instant Challenge Saturday will be held at:
   Elm Grove Middle School
   4301 Panther Drive
   Bossier City, 71112

Sign-in at the Girl's Gym
   Morning Session sign-in between 8:30 and 9:00 AM
   Afternoon Session sign-in between 12:30 and 1:00 PM

If you need assistance, e-mail Ashley Johnston at
[email protected]

Print this page prior to submitting.

Submit

Super Instant Challenge Saturday RegistrationThis form due NLT Dec 18 to enable construction. Payment must be mailed by Jan 11, or, with approval from LA DI, a school check may be brought to the event. Please, use normal capitalization when filling out your form.

Scheduling

Super Instant Challenge Saturday Registration
This form due NLT Dec 18 to enable construction. Payment must be mailed by Jan 11, or, with approval from LA DI, a school check may be brought to the event. Please, use normal capitalization when filling out your form.