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Science Olympiad Student Entry Form
October 2018

Dear District 64 Third, Fourth, and Fifth Grade Parents,

It is time to encourage your child/ren to participate in this year's District 64 Science Olympiad to be held on Saturday, February 2, 2019 (9 a.m. - 11 a.m. at Emerson Middle School).

You will use THIS ONLINE FORM to sign up your child as a participant. By answering the questions at the end of this form, you will be giving permission for your student to participate in this year's Olympiad.

There are 5 different events from which to choose. Video previews of each event and the actual form for signing up are found below. I encourage you and your child to watch the videos if you are unfamiliar with the 5 events.

PLEASE NOTE: Students typically enjoy forming a team with one or two friends. However, students sign up individually and are placed on teams once all entry forms are received. Even though there is a place on the entry form to request a teaming arrangement, we cannot always guarantee specific teaming requests. We do our best to place students on teams so that all children have the opportunity to participate.

About half of all parents will work as coaches for 2-3 person teams. Because practicing typically happens at the coach's home, parent-coach volunteers must complete the criminal history background check fingerprinting process. Teams do not become official until that background check process is completed.

ALSO NOTE: It is extremely important that anyone interested in coaching complete this process as soon as possible. The process takes much longer if parents wait until November, December, or January when offices are closed due to the holidays.

Fingerprinting can be done on a walk-in basis, Monday - Friday, 7:30 a.m. - 4:15 p.m. at the School District 64 Educational Service Center, 164 S. Prospect Ave., Park Ridge. Please note that there is no need for fingerprinting if a parent only wishes to help judge an event. Parents who serve as judges do so only on the day of the event and so require no background check.

Again, students may select one event only from five possible events. Learn about these events by clicking on the videos shown below. Then fill out the form at the end of this page to sign up your child.

Additional Information can also be found on the District 64 Science Olympiad web site https://www.d64.org/learning/science-olympiad. Thank you for your interest in this year's Science Olympiad.

Sincerely,

Dina Pappas
School District 64
Science Olympiad Chair

Email address *
What is the Science Olympiad?
Aerodynamics
Egg Drop
Mystery Box
Rubber Band Catapult
Structures
Science Olympiad Registration Form
Dear Parent . . . Please fill out this form accurately. Team formation and communication of Science Olympiad information will depend on the information you provide here. Thank you!
Please type the full name of the PARENT filling out this form. *
Your answer
What is your child's FIRST NAME? *
Your answer
What is your child's LAST NAME? *
Your answer
What is your child's SCHOOL? *
Students are teamed by school. Teams represent their school at the Olympiad, competing for gold, silver and bronze medals.
What is your child's GRADE? *
Usually, students are teamed with other students from the same grade. This, however, is not always the case.
Your student is . . . *
District 64 encourages both boys and girls to participate. This information will help us identify trends in interest related to gender.
What EVENT are you choosing? *
Students may sign up for ONLY ONE event.
As a parent, will you COACH your child's team? *
All teams must have at least one parent-coach. This usually means coaching your own child and one or two other teammates during practice sessions you plan in your own home. For this reason, the Criminal History Background Check Permission form and District 64 fingerprinting process must be completed by the parent who volunteers to coach.
In the space provided, please type the full name of the PARENT who will be coaching.
Your answer
Have you undergone District 64's Criminal History BACKGROUND CHECK FINGERPRINTING process since August, 2015? *
You will have to repeat this process if it was completed prior to that time.
On the day of the Olympiad, will you help JUDGE your child's event? *
The Criminal History Background fingerprinting process is not needed for judges. The judge's role only occurs on the day of the Olympiad.
In the space provided, please type the full name of the PARENT who will be judging.
Your answer
Does your child have a SPECIAL REQUEST to be teamed with a particular student, or students, from his/her school? *
Various criteria are used to determine final team composition. We take into consideration the child's grade level, gender, and special teaming requests (for example, siblings who wish to be together). Teams are finalized by each event coordinator. WE CANNOT ALWAYS GUARANTEE SPECIAL TEAMING REQUESTS. There can be two-person or three-person teams.
Below, please STATE the names of the student, or students, with whom your child would like to be teamed. *
Please make sure you verify that the other children you list below actually intend to participate in the Olympiad. If there is no special request, just state "no request." Special teaming requests CANNOT BE guaranteed.
Your answer
What is the best phone number to reach you/parent during the school day? *
This CONTACT information is used to communicate with you about the Olympiad (team confirmation, reminders, etc.). It will be shared with the event coordinator.
Your answer
What is the best phone number to reach you/parent in the evening? *
This CONTACT information is used to communicate with you about the Olympiad (team confirmation, reminders, etc.). It will be shared with the event coordinator.
Your answer
What is the best email address to reach you (parent or guardian) for Science Olympiad correspondence? *
This CONTACT information is also used to communicate with you about the Olympiad (team confirmation, reminders, etc.). It will be shared with the event coordinator.
Your answer
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