PA MaDCom (Media and Design Competition) 2023 Sign Up Form
Please complete the following form for EACH TEAM that is competing from your district by MARCH 3, 2023. This year's competition will be IN PERSON and will be held at Keystone College March 14th starting at 8:30. Student Media Release forms are available here and via Nadine Homentosky nhomentosky@iu19.org
Thank you!
Sign in to Google to save your progress. Learn more
Email *
School District *
District Building Name *
District Advisor for Team(s) *
NOTE: this person must be a teacher or administrator at the district.  This person will receive ALL related correspondence about this competition.
Email Address of District Advisor for Team(s) *
Mailing Address of District Coach for Team(s) in school building *
Please enter the complete mailing address of the District Coach for your team(s).  This is the address we will send all paperwork.
Phone Number of District Coach for Team(s) *
Name of Students participating on this MaDCom team. (You can have up to 3)
*
Please submit this form for EACH team of students that are participating.  Once you submit this form successfully, click Submit again to submit your next team. Lunch is provided and I need a count of participants.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Northeastern Educational Intermediate Unit 19. Report Abuse