Register On-line for 2012-2013

Use the form below to register on-line for 2012-2013 with a billing address or purchase order number:

Some pop-up blockers and security programs on computers may not allow the registration information to be transmitted. After you register, please e-mail the State Director at sandyhortonFPS@bellsouth.net to notify her of your registration to ensure that the registration has gone through.

The billing agent you specify on the form will be notified and billed by North Carolina Future Problem Solving. Coach materials and everything you will need to compete in NC FPS will be mailed upon receipt of a purchase order number or check. If you prefer to mail in the registration fee, make checks payable to North Carolina Future Problem Solving.

Registering for North Carolina Future Problem Solving is as easy as completing the on-line form below and clicking the "submit order" button. Your order will be sent directly to the State Director for processing. You may include a school division purchase order number (PO#) if you like.

Complete the information below to register for NC FPS:

Registering Coach:

Home Address:

City, State, and zipcode:

Coach's Personal e-mail:

Coach's School e-mail:

School Name:

School Mailing Address for delivery of coach materials:

City, State and zip code:

County

Coach's school phone number

Coach's personal phone number:

Comments to NC FPS

School or Purchaser

Billing address is same as school mailing address

If billing address is different from above, please complete the following information: Billing Agent

BILLING ADDRESS street address:

BILLING ADDRESS city, state, and zipcode:

BILLING ADDRESS e-mail

BILLING ADDRESS phone number with area code

PURCHASE ORDER NUMBER (optional)

GLOBAL ISSUES TEAM PROBLEM SOLVING @ $120.00 per team

# of Junior Division GPSTeams (Grades 4-6)

# of Middle Division GPS Teams (Grades 7-9)

# of Senior Division GPS Teams (Grades 10-12)

TOTAL AMOUNT due for GPS TEAMS ($120.00 x # of GPS teams)

GLOBAL ISSUES INDIVIDUALPROBLEM SOLVING ($50 per Individual

# of Junior Division GPS INDIVIDUALS (Grades 4-6)

# of Middle Division GPS INDIVIDUALS (Grades 7-9)

# of Senior Division GPS INDIVIDUALS (Grades 10-12)

TOTAL AMOUNT due for GPS INDIVIDUALS ($50.00 x # GPS INDIVIDUALS)

COMMUNITY PROBLEM SOLVING (CmPS) TEAMS @ $120.00 per team of 2-15 students

# of CmPS Junior Division Teams (Grades 4-6)

# of CmPS Middle Division Teams (Grades 7-9)

# of CmPS Senior Division Teams (Grades 10-12)

TOTAL AMOUNT due for CmPS Teams ($120.00 x # of CmPS Teams)

COMMUNITY PROBLEM SOLVING INDIVIDUAL at $50.00 per individual

# of CmPS JUNIOR INDIVIDUALS (Grades 4-6)

# OF CmPS MIDDLE INDIVIDUALS (Grades 7-9)

# of CmPS SENIOR INDIVIDUALS (Grades 10-12)

TOTAL AMOUNT due for CmPS INDIVIDUALS ($50.00 x # of CmPS INDIVIDUALS)

SCENARIO WRITING Individual Competition @ $50 per indiviual

# of Junior Division SCENARIO WRITERS (Grades 4-6)

# of Middle Division SCENARIO WRITERS (Grades 7-9)

# of Senior Division SCENARIO WRITERS (Grades 10-12)

TOTAL AMOUNT due for Scenario Writers ($50.00 x # of scenario writiers)

ACTION-BASED PROBLEM SOLVING (Non-competitive component @ $50.00 per team of 2 to 6 students)

PRIMARY ACTION-BASED PROBLEM SOLVING (Grades K-3)

JUNIOR DIVISION ACTION BASED PROBLEM SOLVING (Grades 3-6)

MIDDLE DIVISION ACTION BASED PROBLEM SOLVING (Grades 6-9)

TOTAL AMOUNT due for Action-based Problem Solving Teams ($50.00 x # of AbPS Teams)

Transfer totals for each components below

TOTAL for GPS TEAMS (all divisions)

TOTAL for GPS INDIVIDUALS (all divisions)

TOTAL for CMPS TEAMS (all divisions)

TOTAL for CMPS INDIVIDUALS (all divisions)

TOTAL for SCENARIO WRITERS (all divisions)

TOTAL for AbPS TEAMS (Primary/Junior/Middle Divisions)

TOTAL AMOUNT DUE NC FPS (Add together amounts for all registered team and individual components)

Register On-line for NC FPS 2012-2013

Use the form below to register on-line for 2012-2013 with a billing address or purchase order number:

Complete the information below to register for NC FPS: