Certification Form - 2004 Rocky Mountain Region ACM

Please print clearly!

Team Member Name First Semester in College
#1    
#2    
#3    
Institution:
 
Coach:
 
Phone:
() -
Email:
@
Signature:
 

By my signature above, I certify that I have read the eligibility requirements at http://icpc.baylor.edu/icpc/regionals/About.htm#Team_Composition.

Thank you for participating in the Rocky Mountian Regional ACM Programming Contest! See http://www.mesastate.edu/acm/rmrc for more information.