ICPC SouthEastern European Regional Contest
of the International Collegiate Programming Contest

TEAM REGISTRATION FORM

Institution Name

Long: ___________________________________________________________________
Short:____________________
Division :  I ___	II ___
(I - offers advanced degree in computer science
 II- does not offer advanced degree in computer science)
Colors:_____________________________
Mailing Address:_________________________________________________________
Country:____________________________

Faculty Advisor

First Name:________________  Last Name:_________________ Goes by:________
Position:__________________
Work address:____________________________________________________________
EMail:__________________________________
Phone:  Office:_________________________    Home:________________________
FAX:_______________________
ACM #:_____________________
___Check here if you do not want this information distributed in
     a contest directory

Coach

Name : ___________________________________

Member 1

First Name:________________ Last Name:__________________ Goes by:________
Home address:____________________________________________________________
EMail:_____________________________________
Home phone:________________________________
Expected graduation date:__________________
Year of study:__________________	            ACM#:____________________
___Check here if you do not want this information distributed in
     a contest directory

Member 2

First Name:________________ Last Name:__________________ Goes by:________
Home address:____________________________________________________________
EMail:_____________________________________
Home phone:________________________________
Expected graduation date:__________________
Year of study:__________________	            ACM#:____________________
___Check here if you do not want this information distributed in
     a contest directory

Member 3

First Name:________________ Last Name:__________________ Goes by:________
Home address:____________________________________________________________
EMail:_____________________________________
Home phone:________________________________
Expected graduation date:__________________
Year of study:__________________	            ACM#:____________________
___Check here if you do not want this information distributed in
     a contest directory

I certify that the contestants are registered students in our institution and satisfy the eligibility requirements specified in the Contest Rules.

Faculty Advisor Signature: ______________________________

Institution Official 		      Name: ______________________________


			Signature and Stamp: ______________________________

A similar Team Registration Form should be completed and signed by the Faculty Advisor before the Contest, in Bucharest.

In unforseen situations, you may replace members of your team when attending the Contest, provided that they satisfy the eligibility requirements specified in the Contest Rules.