APPERTAIN Application Form

APPERTAIN Team Registration
Welcome to the Appertain Case Competition: a community-based case competition in collaboration with Adopt Our Community Richmond. High school students from over the district should form teams to create a solution presentation for real-world community issues based in Richmond.
PART I: Primary Contact
Preferred Name

First NameLast Name
Legal Name

First NameLast Name
Phone Number
Email
School
Current Grade
Area of Residency
Dietary Restrictions
Emergency Contact (for Primary Contact)
Name
Relation to Attendee
Phone Number
Email
How would you like to register? (team size)
For solo registrants:
PART II: Team Members

Please provide your OTHER team members’ information. Fill out as many as applicable (skip this section if you are participating solo).
- Full Name
  
  First NameLast Name
- Phone Number
- Email
- School
- Current Grade
- Dietary Restrictions
- Emergency Contact
- Name
- Relation to Attendee
- Phone Number
- Email
- Full Name
  
  First NameLast Name
- Phone Number
- Email
- School
- Current Grade
- Dietary Restrictions
- Emergency Contact
- Name
- Relation to Attendee
- Phone Number
- Email
- Full Name
  
  First NameLast Name
- Phone Number
- Email
- School
- Current Grade
- Dietary Restrictions
- Emergency Contact
- Name
- Relation to Attendee
- Phone Number
- Email
- Full Name
  
  First NameLast Name
- Phone Number
- Email
- School
- Current Grade
- Dietary Restrictions
- Emergency Contact
- Name
- Relation to Attendee
- Phone Number
- Email

PART III: Payment

Registration Fee(s)

Solo

$40.00 CAD

Team of 2

$80.00 CAD

Team of 3

$120.00 CAD

Team of 4

$160.00 CAD

Team of 5

$200.00 CAD

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

APPERTAIN Team Registration

PART I: Primary Contact

PART II: Team Members

PART III: Payment

Registration Fee(s)*

Registration Fee(s)