IJAS Region 2 School Membership Form
Please complete ALL information below. Make sure all information is correct! Spell all words as you would want to see them in print---on certificates and the program booklet. A gmail from Google is required to complete your registration of posters, papers, essays and judges.
Email address *
Sponsor's Name *
Your answer
Sponsor's Phone Number *
Your answer
Sponsor's Home Address *
Your answer
School *
Your answer
School Address *
Your answer
School Phone number *
Your answer
School Fax number *
Your answer
Principal's Name *
Your answer
Choose Participating Grades *
Please Remember
Please make your check payable to: Chicago Non-Public Schools Science Exposition,. Send your check to:
Tamara Kiszynski  at 5126 W, Byron St., Chicago, IL 60641

A school is not considered registered until the membership fee is received by Tamara Kiszynski.
Registration for Region 2 DOES NOT include IJAS State Registration.
Keep a copy of this form for your records, and remember as you develop your school science fair you must also register with the State IJAS www.ijas.org. Do NOT send your state registration to Region 2.

A copy of your responses will be emailed to the address you provided.
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This form was created inside of Concept Schools.