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                                                ENTRY FORM

 

Please read all of the rules and regulations before completing this form.

 

Due by Feb. 8th, 2009 to Melisa Westerman, Liberal High School.

      (NOTE:  Entries will not be accepted after this date.)

 

PLEASE PRINT:

 

Name______________________________________            Phone #____________________

 

Grade________________       School____________________________________________

 

Age______________        Teacher's Name ____________________________________

                                          Teacher’s Home Phone # ______________________________

 

TITLE OF EXHIBIT : _____________________________________________________

 

Give a brief description of your project in complete sentences.(WARNING: Leaving this blank will disqualify your project) ________________________________________________________________________

 

 

 

________________________________________________________________________

Is Electricity Required For This Display? ________ Student is responsible for extension cord.

 

All Projects For The District Must Be Experimental At the Intermediate Level and Up!

 

      __________ Chemistry                              __________Biology

     

      __________Environmental Science            __________Behavioral Science

     

      __________Earth and Space Science        __________Physical Science

                                   

PARENTAL APPROVAL:  I have read the rules and regulations and agree to abide by them.

            I also agree that all projects that are not picked up by 8:30pm on Feb. 21st, 2008                                   become the property of LHS.

                        (Parent's Signature)______________________________________

 

STUDENT APPROVAL:  I have read the rules and regulations and agree to abide by them.

                        (Student's Signature)______________________________________

                                                                                                                       

TEACHER APPROVAL:  ____________________________________Phone # ___________

Attn: Teachers – Read entries carefully before signing!!!! Staple all team projects together!  Make sure entry is legible

 


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Last updated: 02/05/09.