Humboldt History Day 2018 Student Registration Form
Registration Opens: Monday, January 8
Registration Closes: Sunday, February 11 at 11:00 PM
Thank you for your interest in Humboldt History Day!
Please submit this registration online. If you have any technical difficulties, please contact Jack Bareilles at
(707-845-6546 cellular) for further instructions.
(1) Your first name
(2) Your last name
(3) Your home street address
(4) Your City
(5) Your Zip Code
(6) Best phone number to reach you or your parents.
(7) Best email to reach you or your parents (if you have one).
(8) Your grade.
(9) Years of experience with History Day
This is my first year
(10) I affirm that the entry submitted for competition was researched and developed during this school year. I have read the National History Day rules and policies governing student behavior and will conform to these rules. I understand that violation of these rules may result in the disqualification of my entry. I accept the decision of the judges as final. I have reviewed and understand the information presented above and acknowledge that my participation in National History Day is conditioned on my agreement with the terms and conditions outlined herein. I further understand that selecting "Yes" for each agreement and submitting my registration shall have the same force of law as my original signature and that I am not obligated in any way to make such agreement, except as prerequisite to my participation in this program.
(11) Parent/Guardian's First Name
(12) Parent/Guardian Last Name
(13) Parent's Cell Phone (Optional)
(14) I understand that by agreeing, I am certifying that my student understands what is involved in participation and that I freely and voluntarily allow my student to participate and hereby agree to assume and accept any and all risks associated with his/her participation in Humboldt County History Day.
Yes I understand and agree
(15) Your school
Academy of the Redwoods
Arcata Elementary School
Arcata High School
Blue Lake Elementary School
Cutten Elementary School
Del Norte: Del Norte High School
Ferndale Elementary School
Ferndale High School
Fieldbrook Elementary School
Fortuna Middle School
Fortuna Union High School
Grant Elementary School
Hoopa Valley Elementary School
Hoopa Valley High School
Jack Norton Elementary School
Jacoby Creek Elementary School
Del Norte: Joe Hamilton Elementary School
Lafayette Elementary School
Loleta Elementary School
Maple Creek Elementary School
Mattole Elementary School
Mattole Triple Junction High School
McKinleyville High school
McKinleyville Middle School
Monument Middle School
Morris Elementary School
Del Norte: Mountain Elementary School
North Coast Learning Academy- Mattole Valley Charter School
Orick Elementary School
Orleans Elementary School
Pacific Union Elementary School
Redway Elementary School
Redwood Coast Montessori
Del Norte: Redwood Elementary School
Redwood Preparatory Charter School
Six Rivers Charter High School
Six Rivers Montessori
Del Norte: Smith River Elementary School
South Bay Elementary School
South Bay Middle School
Sunny Brae Middle School
Trinidad Elementary School
Trinity Valley Elementary School
Washington Elementary School
Zane Middle School
(16) Your Teacher's First Name
(17) Your Teacher's Last Name
(18) What age division are you?
(19) What entry category are you entering?
Gr. 4-5 Individual Poster ELEMENTARY ONLY
Gr. 6-8 Group Documentary
Gr. 6-8 Individual Documentary
Gr. 6-8 Group Exhibit
Gr. 6-8 Individual Exhibit
Gr. 6-8 Paper (Individual only)
Gr. 6-8 Group Performance
Gr. 6-8 Individual Performance
Gr. 6-8 Group Website
Gr. 6-8 Individual Website
Gr. 9-12 Group Documentary
Gr. 9-12 Individual Documentary
Gr. 9-12 Group Exhibit
Gr. 9-12 Individual Exhibit
Gr. 9-12 Paper (Individual only)
Gr. 9-12 Group Performance
Gr. 9-12 Individual Performance
Gr. 9-12 Group Website
Gr. 9-12 Individual Website
(20) Website URL - enter complete URL for website entries. If you are NOT doing a website, please type: N/A
(21) Weebly Username for website entries
(22) Weebly Password for website entries
(23) Poster Title for Gr. 4-5 Posters ONLY
(24) Entry Title for ALL Gr. 6-12 entries
(25) Name of 2nd Group Member
(26) Name of 3rd Group Member
(27) Name of 4th Group Member
(28) Name of 5th Group Member
(29) If you will have your cell phone with you on the day of the event, please list your cell phone number (with area code).
This will allow us to text or call you the day of the event if necessary.
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