WESTERN UP SCIENCE FAIR PROJECT REGISTRATION FORM

Please return signed form to your teacher by

Wednesday, February 6, 2002

 

One form for each project. For group projects, be sure to give the name, address and phone number for both students.

 

Student Information (please print)

1) Studentís Full Name__________________________________

 

Home Address _______________________________________

 

Phone Number _______________________________________

 

2) Studentís Full Name___________________________________

 

Home Address _________________________________________

 

Phone Number _________________________________________

 

Project Information

Problem to be Investigated (taken from worksheet #1) ______________

 

___________________________________________________

 

School _______________________________________________

 

Grade _________††† Electrical power outlet needed?____ yes____ no

 

Brief Description of Project:

 

 

 

Teacherís Consent

Teacherís name_________________________________________

Teacherís signature ______________________________________