The Contest Manager and the Principal, Vice Principal, Headmaster or person with comparable title must sign this form which is to be returned with your student Answer Forms. The Contest Manager must wait until all aspects of the contest process at the school have been completed.

Certification by the Principal or person with comparable title: (a) I certify that the contest package(s), the Complimentary Solutions Envelope and/or the Solution Packets were retained in their sealed condition within an hour of the start of the contest. (b) I accept for our school the rules and procedures described on this page and pages 3-6, and accept that failure to follow these rules and procedures may result in DISQUALIFICATION from official standing of all scores from our school.
Signature	_____________________________________________________	Time	___________________
Title	_____________________________________________________	Date	___________________
If your school was closed November 13, 2001 or had an academic conflict on that day (snow day, vacation, parent conferences, etc.) please enter the date the school reopened or was back to a normal class schedule and the contest was given___________________. Indicate below the reason the school used a “Window” date:

If the contest was taken unofficially after the “window,” mark the exceptions box at the bottom and write the reason on the back of this form.

Certification by the Contest Manager: I certify that the following statements are true or that, if there are any exceptions, I have checked the box below and have listed them above or on the back of this page. I understand that the absence of either signature from this form, and a consideration of the exceptions may result in DISQUALIFICATION of all scores from our school and understand that administering the AMC 8 before November 13, 2001 will lead to disqualification of our school’s results. Only students in grade 8/age 14 or below participated in the Contest. The package of Contests was not opened until just before the Contest was given on Tuesday, November 13, 2001 or the first day the school was open during the "window" (see Section VI., Page 4). The participants were continually monitored during the Contest, and they were separated by an empty space, if possible. Participants had exactly 40 minutes working time. No student was permitted to proctor the Contest. I collected all of the students’ Contest booklets following the administration of the Contest. After the Contest, the AMC 8 ANSWER FORMS were placed in the AMC 8 Report Envelope, kept secure and no changes were made in the answers. If the AMC 8 was given at more than one time, the Contest papers were kept secure until all sittings were over. The instructions relating to the opening of the “Complimentary Solutions Envelope” and/or Solution Packets were followed. I have followed all the rules as stated in this Teachers' Manual.
SIGNATURE	_________________________________________	DAY & DATE TEST WAS GIVEN	_____________________
School Name	_________________________________________	Telephone	____/____-______
City	_________________________________________	State ___________	Zip: ________________
E-mail (please print clearly):	__________________________________________________________		School Grade Level: _____ through _____
PLEASE INDICATE THE EXACT NUMBER OF AMC 8 ANSWER FORMS RETURNED FOR GRADING: __________			EXCEPTIONS: _____