KSEA 2023 NMSC - Sacramento

KSEA 2023 NMSC Registration

- Sacramento
Student Name*

First NameLast Name
Student Birth Date

MonthDayYear
School Name
School Level*

4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade
Student Email (Do not use Parent's email address here)*
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose Chapter*

Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian email/(KSEA registered email). Sign up KSEA member at: https://www.ksea.org/signUp*
example@example.com
Relationship (e.g., son, daughter)

Please select the exam that you want (You can get $40 discount code if you are a KSEA member. Please contact your local chapter president or KSEA ITM at itm@ksea.org).

Math

$50.00

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: