World Affairs Council Mid-Hudson Region, Inc.

Academic WorldQuest 2010

Team Registration

Sunday, December 6, 2009, 2:00 pm

at the

Henry A. Wallace Visitors and Education Center of the

Franklin D. Roosevelt Presidential Library, Hyde Park, NY

(Snow date: December 13th)

Please submit to the World Affairs Council no later than November 30, 2009
Registration is limited to no more than two teams from each school

School:

Location:

Coach/Advisor Name:

Position/Title:
 E-mail  

School Mailing Address:

Address 2:

City, State & ZIP Code:

 ,

Telephone #:

 Fax #:

You should print a copy of this page. You may print and return this form to the World Affairs Council no later than November 30, 2009 at:

World Affairs Council of the Mid-Hudson Valley, Inc.
c/o Joe Lombardi
469 Rossway Road
Pleasant Valley, NY 12569

If you'd like to register your TEAM MEMBERS, please click HERE  (Team Member names are due November  24nd

For additional information contact Joe Lombardi at the above address or by Email: AcWQ@hvworldaffairscouncil.org

Revised: 12/06/09