ACTM Regional Mathematics Contest Individual Registration Form
Contest Date: March 14, 2026 | Registration Deadline: February 20, 2026 | Registration Fee: $10 per test
Name
*
First Name
Middle Name
Last Name
Grade
*
Parent/Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Email Address
*
example@example.com
Expected Year of Graduation
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Principal
*
First Name
Last Name
Classroom Teacher
*
First Name
Last Name
School Sponsor
*
First Name
Last Name
As the parent/guardian/legal representative of the student, I acknowledge I haveseen the media release available on the reverse side of this form, and if Idecide to sign it, I will submit it by registration.
*
Check the test you are taking:
*
Rows
9 a.m. - 10 a.m.
Algebra I
Geometry
Algebra II
Trigonometry/Pre-Calculus
Calculus
Statistics
*STUDENTS MUST BE ACCOMPANIED BY A CLASS SPONSOR. NO STUDENT SHOULD ATTEND WITHOUT A DESIGNATED CLASS SPONSOR.
Checks should be made payable to Lyon College and mailed to the address below or turned in during check-in.
Rose Breckenridge | Lyon College | Derby Center | 2300 Highland Road | Batesville, AR, 72501
Save
Submit
Should be Empty: