Youth Engineering And Science Fair Entry Form - Yes Fair

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YOUTH ENGINEERING AND SCIENCE FAIR
ENTRY FORM
Entry must be completed in full or entry may be disqualified
Student Information: (Please print clearly)
First Name: _________________________________________
Last Name: _________________________________________
Mailing Address:
_________________________________________________________________
City: _________________
State: AZ
Zip: ____________
Home Phone (include area code): (
__)_________________
E-Mail Address: ___________________________________________________________
School Name: _____________________________________
5 – 6 – 7 – 8 – 9 – 10 – 11 - 12
Grade :
(circle one)
US Citizen
___Yes or No______
Gender: ______Male or Female_____
Parent / Guardian Information:
First Name: ___________________________________________________________
Last Name: ___________________________________________________________
Day Phone: ___________________________________________________________
Teacher/Advisor Information:
check this box if Parent is advisor
Teacher Name: _Mr. / Mrs. / Ms._________________________________________________
Day Phone: (___)_________________________________
E-Mail Address: ___________________________________________________
Project Information:
Project Title: _________________________________________________________________
Brief Description of Project:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________
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