SCIENCE & TECHNOLOGY FAIR

ENTRY FORM

March 25, 2000

STUDENT NAME: ______________________________________________

TELEPHONE #: ______________________________________________

TEACHER AND GRADE(S): ______________________________________________

PROJECT TITLE: ______________________________________________

In the space that follows, briefly describe your project:

List below any special equipment (electrical outlets, extension cords, etc.) you anticipate needing for your project. (NOTE: we CANNOT provide televisions, computers, video cassette recorders.)

I give my child permission to participate in the Science & Technology Fair.

I understand and agree to all the rules.

PARENT/GUARDIAN:_________________________________ HOME #:__________

___________________________________________________ WORK #:__________

PARENT SIGNATURE ________________________________ DATE:____________

DUE DATE FOR ENTRY

FEBRUARY 25, 2000