Invention Convention Intent to Submit
Email address *
Inventor 1 Last Name *
Your answer
Inventor 1 First Name *
Your answer
(If Additional) Inventor 2 Last Name
Your answer
(If Additional) Inventor 2 First Name
Your answer
(If Additional) Inventor 3 Last Name
Your answer
(If Additional) Inventor 3 First Name
Your answer
(If Additional) Inventor 4 Last Name
Your answer
(If Additional) Inventor 4 First Name
Your answer
Oldest Inventor's Age *
Your answer
Homeroom Teacher (of Oldest Inventor) Last Name *
Your answer
Grade Level *
Title of Invention *
Your answer
Explanation of the problem your invention solves: *
Your answer
Describe HOW your invention solves the problem: *
Your answer
By typing my name below, I promise, to the best of my knowledge, I am the first and sole inventor of the invention I have described. (Student Inventor's signature--If you have 2 inventors, inventor 1's signature is fine.) *
Your answer
As the parent of the student inventor listed above, by typing my name below, I affirm that the invention is the original work of my child. Parent signature: *
Your answer
Date of Submission *
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