2010 Bartlesville District Science Fair

Grades 1-6 Entry Form (Fair Date: March 5, 2010)

 

Registration should be postmarked by Feb. 19, 2010. No Entry Fee is required.

Entries received after Friday, February 26, 2010, will not be allowed to compete or be judged.

 

Students Name: _________________________________________________________________

Address: _______________________________________________________________________

City: __________________________________ Zip: __________ Phone: _________________

School: _____________________________________________________ Grade: ___________

Teacher/Sponsor: ________________________________________________________________

 

Project Title:_____________________________________________________________________

________________________________________________________________________________

 

Exhibit will be placed on a:

Table Floor

Exhibit requires 110 volt electricity:

Yes No

 

Select your project category: Biological Sciences Physical Sciences Teams

 

If this is a Team Project, print the other team members (teams are limited to a total of 3 students)

 

Students Name: __________________________________________________________________

Address:_________________________________________________________________________

City:____________________________________Zip:____________Phone:___________________

 

Students Name: __________________________________________________________________

Address:_________________________________________________________________________

City:____________________________________Zip:____________Phone:___________________

 

 

Teacher/Project Sponsor Signature: ______________________________ Date ________________

Name (print)_____________________Position (teacher, parent, other)____________Phone________

 

 

Parent/Guardian Signature: _________________________________ Date: ___________________

Parent/Guardian E-mail Address: (if available) ___________________________________________

 

This completed form along with COPIES of any other required ISEF forms must be mailed to:

 

Bartlesville District Science Fair, P.O. Box 303, Bartlesville, OK 74005

**** NO LATER THAN FEBRUARY 19, 2010 ****

Entries received after February 26, 2010, will not be allowed to compete or be judged.

 

Application for entry to the Bartlesville District Science Fair constitutes agreement to make a good faith effort to exhibit your project and abide by the rules and decisions of the Fair officials.

 

Please send questions and other information requests to Lee Carvell at: carvela@cpchem.com