My Invention Disclosure Template
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1My Invention
The date today is____________________________________________________________________.
My name is __________________________________________________________________.
I am in grade ________________________________________________________________________.
This is the problem I found. ____________________________________________________
__________________________________________________________________________
I have invented ______________________________________________________________
__________________________________________________________________________
It is helpful because__________________________________________________________
__________________________________________________________________________
My invention works like this.
__________________________________________________________________________
__________________________________________________________________________
I believe my invention is a brand new idea.
I would like to show my invention at the Invention Convention.
Signed ______________________________________________________________________________
School: ____________________________________________________________________
School Telephone: ____________________________________________________________
School Address ______________________________________________________________________
__________________________________________________________________________
Witness: (teacher) ____________________________________________________________
Witness: (parent)____________________________________________________________
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