STEP 3- Student Entry Form 2026
STEP 3- To be completed by the parent of the student who has been registered by their School Coordinator. After (Steps 1 and 2 are completed by the School Coordinator)
Student Name
*
First Name
Last Name
Parent Name
*
First Name
Last Name
Parent email
*
example@example.com
Parent Phone
*
Please enter a valid phone number.
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Name
*
Teacher Name
*
Teacher Email
*
example@example.com
Please select your child's grade level
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Category
*
Life and Earth Sciences
Physical Science and Engineering
Project- If it is a Broadcom Masters- Coding with Commitment project- or a DOD STEM Project or The Early Inventor Lemelson Project- Please specify- Write- Coding with Commitment/DOD STEM/ Early Inventor/ Title of your project
Brief description of project-
*
Student's Statement
*
I promise the project described here is my own work. I believe it conforms to Fairfax County Science and Engineering Fair Rules and Regulations and Safety Guidelines.
Parent's Statement
*
As parent (or guardian) of this student, I certify that information on this Entry Form is correct, and that the project was completed by the student. I realize that equipment or materials used in the exhibit are the responsibility of the student, and that neither teachers, the school, nor any official of the Fairfax County Science and Engineering Fair can accept responsibility for theft or damage that might occur during the fair. I also understand the exhibit must be left on display until after the Awards Program (3:30 p.m.), but that it must be removed immediately thereafter, and that clean-up crews have been authorized to discard exhibits remaining after 4:30 p.m.
Permission to Participate ( Virtually/In-person)
*
I understand that participation in Northern Virginia Elementary and Middle School Science and Engineering Fair activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for myself or my child to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I understand that this may include participation in tournaments, training sessions, special events, competitions, and other activities related to Science Fair. It may also include travel under the supervision of the team coach or their authorized team representative. I release Science Fair, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims, liability or cause of action arising out of this participation.
Media Release
*
Media Release (pictures are typically used on the website and on informational material)
Emergency Contact Name-1
*
First Name
Last Name
Emergency Contact Phone Number-1
*
Please enter a valid phone number.
Emergency Contact Name-2
*
First Name
Last Name
Emergency Contact Name-2
*
Please enter a valid phone number.
Any Medical Conditions
NVSE T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
NVSE T-Shirt
*
prev
next
( X )
NVSE T-Shirt
$
30.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please verify that you are human
Submit
Should be Empty: