4th- 5th Grade AT HOME Project Registration Form
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Student's FIRST Name *
Student's LAST Name *
Grade *
(choose one)
HOMEROOM Teacher *
(choose one)
SCIENCE Teacher *
(choose one)
I will follow the guidelines as described in the BCPS STEM Fair Rules and Regulations for my/our STEM Fair project. *
(choose one)
Student's FIRST Name
Student's LAST Name
Grade
(choose one)
HOMEROOM Teacher
(choose one)
Student's FIRST Name
Student's LAST Name
Grade
(choose one)
HOMEROOM Teacher
(choose one)
Student's FIRST Name
Student's LAST Name
Grade
(choose one)
HOMEROOM Teacher
(choose one)
Title of Project *
(as it will appear on backboard display)
Type of Project *
(choose one)
I have read and understand the guidelines described in the BCPS STEM Fair Rules and Regulations and will monitor my child’s project. *
(choose one)
I give consent for my child to participate in this research and complete a project for the 2015-2016 Pot Spring ES- STEM Fair. *
(choose one)
I give consent for my child to be photographed with their project and for the photo to be posted to the 2015-2016 Pot Spring ES- STEM Fair Photo Gallery. *
(choose one)
Parent's First AND Last Name *
relation to student *
email address *
today's date *
MM
/
DD
/
YYYY
I have read and approved this student’s Summary (abstract) and agree that it meets the guidelines as described in the BCPS STEM Fair Rules and Regulations.
**approval will be given AFTER form is submitted & reviewed**
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