2022 Wiregrass District Science Fair Registration Link

2022 Wiregrass District Science Fair Registration Form

A form should be submitted for each project
Student Name*

First NameLast Name
Additional Student Name (if applicable)

First NameLast Name
Additional Student Name (if applicable)

First NameLast Name
Additional Student Name (if applicable)

First NameLast Name
Additional Student Name (if applicable)

First NameLast Name
Additional Student Name (if applicable)

First NameLast Name
Project Title*
Project Synopsis*
100 Words or Less
Grade*
If this is a 6th grade or above project, have you registered the project in Scienteer?*

YesNo4th or 5th Grade Project
School Name*
Teacher Name*
Teacher E-mail*
Teacher Phone Number

Area CodePhone Number

Please indicate the t-shirt sizes needed for the student(s) associated with this project, by selecting the total number of each size shirt (Teachers please submit your t-shirt submission on one registration form).*

	Quantity
Youth Small
Youth Medium
Youth Large
Youth X-Large
Small
Medium
Large
X-Large
XX-Large
XXX-Large

Lunch will be provided by Chick-fil-A. If you have any food allergies, please list in the following blank blank*. If you have no allergies, please list NONE in the previous blank.
Media/Photography Release:
I hereby give the Alabama College of Osteopathic Medicine (ACOM), its affiliates (Southeast Health and the Southeast Health Foundation), and local media outlets, the permission to photograph/record the teacher(s) and student(s) associated with this science project at all events related to the 2022 Wiregrass District Science Fair. I give these entities permission to use these photographs and/or video footage in future publications, online and in other materials promoting the Wiregrass District Science Fair. I also give permission for these entities to use these images/footage to promote the event in the media.
Please select:*

Yes, I give permission.No, I do not give permission.
Please list any students associated with the science fair project(s) who cannot have their photos taken during the event. If none, write none.*
Should be Empty:

2022 Wiregrass District Science Fair Registration Form