ment Form — Page 1 aaa ‘School Representative _/\ i — — Mobile Phone # 2 10-T — Work Ema anand. Koulle[d@ cuacboren ; est ret Quick Recall Coa ida Kouffeldcert. #15341 Ps coact, oer cere JSD a) Look up ceticaton numbers tit Aaaecomverseason | ad In order to take part in Governor's Cup, you must help provide officials. Refer to the 1 oreet Participation Requirements in your Governor's Cup Coaches’ Manual. 2 u ‘REQUIRED Quick Recall official: Name Julie. Renshaw ____ cert. #_ XIN 1 Years experience Phone (day) __ (evening) E-mail julie, censhow @ cwrushorccathelte. | MUST be isted as (erde eter or both) (udg6) — @loderato> 1 Mai cert. = ATH years Experience___ | Phone (day), Levering) _ E-maitmaraiz. ebelhar@ owensborocathelre. eg f Can serve as (Gre al that apply); (Judge Prefer Moderator), (Score? ‘Spotter Timer REQUIRED FPS Evaluator: Name | \ieics6t kt Cert #AS44A___ Years Experience Phone (day) (evening), pean Huresa. Saves owensboreeaichie-*4 Written Assessment onficial: Name [wy Si lyert Can serve as (stele) (Brocto?y Grader > sh Phone (6ay). (evening) E-mail Amysi lert@ smal. com Can also serve as (Grce a at app) udoe Moderator Scorer Sporer Timer Written Assessment Official: Name ¥ <\\\ tp 4 Can serve as (circle) Proctor / Grader Phone (day). (evening). E-mail Can also serve as (Grde al tat app): Judge Moderator Scorer Spotter Timer REQUIRED Composition Reader: Name {hots Saul __ Years experience (if writing teacher), Phone (day), (evening) E-mail_the AUler cwensberoca Is this reader tained in scoring Student writing? Yes No Participated in Writing Projects? Yes No Each school may nominate a Chief Official and members of the inquiry panel. List nominees below. rier oma: Rick Maman — It doesn't matter to Years Experience: Inquiry Panel: Name Lidernet WhO IT 'S subject areats) all Ingury Panel: Name Subject Area(s) . This is page 1 of the District Entry Form. Page 2 you print off the Internet after entering student names online. Go to the next page for instructions. Beano NDA AANA AAA AAA AEE TTT LY | 4 8 gin 00.irtten Assessment event and In Composition. an foot your Dstt end Regina Contest Managers D0 NOT send eco 2 EME FS [oorponten] Gack Recon | math [coaner cation ageing Caste Sane ates Doo he Donn micros Fey yan coibaen [Mesan Goodwin Reese [ere avcen ean wison Dna even Dy toe ye ner ees a ts ie a io OB esca Peach Hope Ramm fron Se frcnoer swan cee wise Tera a my nce a evn tr coos mS OY rarest to ane Sprtamery Arad sfcon Cmts rand of uzerEavoment: Lani eee itn Physical or Speech Oisabities i er Ts ap sacs en ay reir seta 9 Fk chit, Rete to he Governors Pesrne recs [Dexte Nes Jasap/main co pre/printform.asp 212014