Humboldt History Day 2020 Student Registration Form
Registration Opens: Tuesday, January 21st
Registration Closes: Sunday, February 9th 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 Tiffany Bullman at tbullman@nohum.k12.ca.us (707-362-6994 cellular) for further instructions.

**Only one member of a group needs to register for the event. The group member will add group names at the end of this form.
(1) Your first name *
Your answer
(2) Your last name *
Your answer
(3) Your home street address *
Your answer
(4) Your City *
Your answer
(5) Your Zip Code *
Your answer
(6) Best phone number to reach you or your parents.
Your answer
(7) Best email to reach you or your parents (if you have one). *
Your answer
(8) Your grade. *
(9) Years of experience with History Day
(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 *
Your answer
(12) Parent/Guardian Last Name *
Your answer
(13) Parent's Cell Phone (Optional)
Your answer
(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. *
(15) Your school *
(16) Your Teacher's First Name *
Your answer
(17) Your Teacher's Last Name *
Your answer
(18) What entry category are you entering? **Elementary is grades 4-5, Junior is 6th-8th, Senior is 9th-12th** *
(19) Website URL - enter complete Google Sites URL for website entries. If you are NOT doing a website, please type: N/A *
Your answer
(20) Google Sites Username for website entries
Your answer
(21) Google Sites Password for website entries
Your answer
(22) Entry Title *
Your answer
(23) First Name 2nd Group Member
Your answer
(24) Last Name of 2nd Group Member
Your answer
(25) Parent/Guardian name of 2nd Group Member
Your answer
(26) First Name of 3rd Group Member
Your answer
(27) Last Name of 3rd Group Member
Your answer
(28) Parent/Guardian Name of 3rd Group Member
Your answer
(29) First Name of 4th Group Member
Your answer
(30) Last Name of 4th Group Member
Your answer
(31) Parent/Guardian Name of 4th Group Member
Your answer
(32) First Name of 5th Group Member
Your answer
(33) Last Name of 5th Group Member
Your answer
(34) Parent/Guardian Name of 5th Group Member
Your answer
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