Student Registration NHD of Contra Costa County 2021

NHD-CCC STUDENT REGISTRATION 2022

National History Day of Contra Costa County 2022 Competition
Dear Student and Parents,

Please complete this online registration and note the following items:

NHD-CCC 2022 INFO: This link has complete information about due dates, how to research, create and submit your project. Bookmark this on your computer.

RULES: Please look over the rules for your type of project: NHD-CA Rules. We will ask to confirm that you have read and agree to follow these rules.

EMAIL ADDRESS: Please enter the email address (on the next page) that you or your parents use the most. This will be the main form of contact for official contest communications.

TITLE: Spell you project title correctly. Do not use all CAPS (uppercase). All group project members must agree to use the EXACT same title words, capitalization and punctuation.

PAYMENT: Indicate your payment option by credit card, personal check or someone else (e.g. school). $50 for each student in a group project or individual project. Payments are not refundable.

GROUP PROJECTS: a group project is 2-5 students. Each student must register and the pay the $50 student fee.

SUBMISSION FOLDER: After submitting your registration, we will send you a link to upload your project documents, etc. to your personal, secure NHD Google Drive submission folder.

DOCUMENTARY: Submit your documentary in the .mp4 video format and written material as PDFs.

EXHIBIT: Submit your exhibit and written materials as PDFs.

PAPER: Submit your paper and written materials as PDFs.

PERFORMANCE: Submit your performance in the .mp4 video format and written material as PDFs.

POSTER: Submit your poster and written materials as PDFs.

WEBSITES: Create your project using the NHD platform NHD WebCentral and submit written materials as PDFs.

Student Information
Student First Name *
Student Last Name *
Contact Email *

Confirmation Email Must be a valid working email address that can receive emails outside of your school. We recommend using a parent/guardian email. You should check this email regularly.

Project Title

Please spell and capitalize words correctly. All group projects must have the exact same title (spelling, punctuation, capitalization). Do not use all CAPS (uppercase).
TITLE *

Grade
Select your grade *

Project Category ID: ELEMENTARY

Grades 4 & 5
Select Project ID *

100 ELEMENTARY-Individual Poster 101 ELEMENTARY-Group Poster

GROUP MEMBERS: Elementary Division

ENTER the OTHER group members below. Do NOT include yourself. This is to cross check group member names. Each member that you list below must also register using this JotForm link.
Elementary Member 2 *

First Name Last Name
Elementary Member 3

First Name Last Name
Elementary Member 4

First Name Last Name
Elementary Member 5

First Name Last Name
REMEMBER: Each group member of your project must also register using this Student Registration (JotForm) link.

WEBSITE: Junior Division
Website projects are hosted on the NHD site https://nhdwebcentral.org/
1. CREATE a new NHD 2021 account at the NHD site shown above.
2. EMAIL us your website PASSWORD to nhdccc@gmail.com with the subject line: " WEBSITE: Your Name "
CONSENT TO SHARE WEBSITE INFORMATION (JR) *

I hereby agree and give my consent to share my NHDWebCentral website username, URL and password with NHD-CCC.
NHDWebCentral Username (JR) *
NHD WebCentral URL (JR) *

WEBSITE: Senior Division
Website projects are hosted on the NHD site https://nhdwebcentral.org/
1. CREATE a new NHD 2021 account at the NHD site shown above.
2. EMAIL us your website PASSWORD to nhd.ccc2@gmail.com with the subject line: "WEBSITE: (Your Name) "
CONSENT TO SHARE WEBSITE INFORMATION (SR) *

I hereby agree and give my consent to share my NHDWebCentral website username, URL and password with NHD-CCC.
NHDWebCentral Username (SR) *
NHD WebCentral URL (SR) *

School Information

COMPLETE the information about your school.
School Name *
If 'Other', please spell the complete name (e.g. Alpha Beta High School). Do not use abbreviations
School District
Select from the drop-down list above or type in your district below
Other District
Name of your History/classroom teacher or sponsor:
Teacher First Name *
Teacher Last Name *
Teacher Email *

Parent / Guardian Information
Parent 1 - Required
Parent 1 Name *

First Name Last Name
Parent 1 Email *
Must be a valid working email address that can receive emails outside your school system. We recommend using a parent/guardian email. You should check this email regularly.
Parent 1 Cell Phone *
Parent 2 (Optional)
Parent 2 Name

First Name Last Name
Parent 2 Email
example@example.com
Parent 2 Cell Phone

Permission to Participate

MUST BE COMPLETED BY A PARENT OR GUARDIAN: Please note that you must choose YES for the following authorizations in order to complete the online registration and to compete at the NHD Contra Costa County contest.
I understand that by agreeing, I am certifying that my child understands what is involved in participation and that I freely and voluntarily allow my child to participate. I hereby agree to assume and accept any and all risks associated with his/her participation in the National History Day Contra Costa County contest.
Permission to Participate *

YES

Statement of Originality

MUST BE COMPLETED BY A PARENT OR GUARDIAN. Please remember that you must choose "Yes" for the following authorization in order to complete the online registration and to compete at the NHD Contra Costa County contest. If you have further questions, please contact the contest coordinator.
- I affirm that the entry submitted for competition was researched and developed during this school year.
- I have read the National History Day - California "Contest Rule Book" governing student behavior and will conform to these rules. The Contest Rule Book can be found at: http://www.nhdca.org/contest-rules
- I understand that violation of these rules may result in my project not advancing to NHD and or the disqualification of my entry.
- I accept the decision of the judges as final. I have reviewed and understand the information presented above and acknowledge that my participation in National History Day is conditioned on my agreement with the terms and conditions outlined herein.
- I further understand that selecting YES for each agreement and submitting my registration shall have the same force of law as my original signature and that I am not obligated in any way to make such agreement, except as prerequisite to my participation in this program.
I agree to the Statement of Originality and the California Contest Rule Book *

YES

Authorization and Releases

MUST BE COMPLETED BY A PARENT OR GUARDIAN
I give National History Day, Inc., its affiliate programs, and its partners including NHD-Contra Costa County the unlimited right to use the voice and images of me and/or my child for publicity, and/or in video/documentaries, or other educational materials and media, including online. I also give National History Day, Inc., and its affiliate programs the right to use images/video of my child's project for teaching and example purposes, including online.
Agree to Authorizations and Releases *

YES NO
If No, Please Explain

Waiver Authorization

Please note that you must choose "Yes" for the following authorizations in order to complete the online registration and to compete at the NHD Contra Costa County contest. If you have further questions, please contact the contest coordinator for your county.
By indicating "Yes" below, I agree to indemnify and hold harmless National History Day, Inc., its affiliate programs including NHD-Contra Costa County, and its staff, trustees and sponsors, for any personal injuries or property damages arising out of my participation in the National History Day contest.
Authorization Waiver *

YES

PAYMENT History Day Contra Costa County 2022
$50 Student Fee
- Each student (both an individual and each group member) pay this fee.
- Every student registers online.
- A group project consists of 2-5 students.
Please select ONE of the payment options below and click 'Next': *

I am paying with a CREDIT CARD (VISA, Master Card. American Express, Discover). I am paying for my student with a CHECK (Payable To: CCCOE) SOMEONE ELSE will be paying for me ( School, District, County, PTA, etc.)

CREDIT CARD Payment

SELECT the "Student Fee" box below.

My Products *

Student Fee $ 50.00

Student Fee

Credit Card

Student's Name *

Personal CHECK Payment

Please complete boxes 1-5.
$50 Student Fee
- Each individual or group member each pays this fee.
  Every student registers online and pays the $50 fee as a member of the group.
  Groups are 2-5 students creating one project.
Make checks payable to: CCCOE
1. Payment For *
Student's first and last name
2. Amount *
3. Payer's Name *
4. Check Number *
5. Check Payable to: CCCOE

6. Check Mailed To:

Dr. Elena Songster, Chairperson

St. Mary's College of Calfornia, History Department

1928 Saint Marys Road

Moraga, CA 94575

Payment by 'SOMEONE ELSE'

Please select who will be paying your individual or group member's registrations fee(s).
My registration will be paid by *

My school Other
If 'Other', list the group or person

SUBMIT Your NHD Project Registration!

NHD of Contra Costa County 2022
CLICK button below if you want a copy of this registration information.

CLICK the button to finalize your student registration.
We will send you...
- a registration confirmation email to the parent email address you provided and
- a link to your secure NHD Google Drive project submission folder (in 7-10 days).
Should be Empty: