Registration Form for the Pi World Ranking List

    Last Name                      First Name                      Date of Birth (optional)
    Street                              Zip Code                        City
    Country                           Continent                        Email (optional)
    Day               Month             Year                Time :       Start         Finish
    I declare the following performance :
    I recited the number Pi totally from memory and without any outside help and without any errors with an accuracy of

    I am already a member of the Pi World Ranking List    Yes  /  No
    I declare that I read the rules and understand them.
    I will take no legal action in any case.
    Place             Date              Signature
    The following persons witnessed my performance and testify  that it fulfils the rules:
    1st witness                                           2nd witness
    Last Name, First Name                       Last Name, First Name
    Address                                              Address
    Place, Date, Signature                         Place, Date, Signature
     In case the performance is 10,000 digits or more :
    Certification, Title and Stamp of the official witness