OFFICIAL ENTRY FORM

Student Name:	First:		Middle:		Last:
Home Address:	Street:		City:		State:		Zip:
School Name:
School Address:
Telephone:	(school)			(home)

Select the student's grade level.  (3rd)     (4th)     (5th)     (6th)     (7th)     (8th)     (9th)     (10th)     (11th)     (12th)      Select whether the project is biological or physical.  (Biological)        (Physical)

Select a Category (Grades 9-12 ONLY)  Behaviorial & Social Science  Biochemistry  Botany  Chemistry  Computer Science  Earth & Space Science  Engineering  Environmental Science  Mathematics  Medicine & Health  Microbiology  Physics  Zoology

Project Title:

Does the project involve: (check all that apply)   Controlled Substances   Vertebrate Animals   Human Subjects   Recombinant DNA   Vertebrate or Human Tissue   Lasers   Exhibit requires electricity		Project dimensions should not exceed:   Height 72 inches Width 48 inches Depth 30 inches