Science Fair 2010 Registration Form

Experiment Topic
Please check all special instructions that apply:	Liquids will be used in this experiment. Electrical outlet needed? Other special setup (if checked please specify below)
If above checked - please specify:
Information on Scientist #1 (1) First Name
(1) Last Name
(1) Teacher's Last Name
(1) Grade	K 1 2 3 4 5
(1) Gender	Male Female
(1) Street Address
(1) eMail Address
This project will be completed largely independently by the student scientist(s). Adults will provide only modest help.
This project will be a Cooperative Family/Group Project in which adults will play a significant role in the experiment or project.
Will there be a second scientist working on this project? If yes-please provide their information below.	Yes No
Information on Scientist Partner #2 (2) First Name
(2) Last Name
(2) Teacher's Last Name
(2) Grade	K 1 2 3 4 5
(2) Gender	Male Female
(2) Street Address
(2) eMail Address
Will there be a third scientist working on this project? If yes-please provide their information below.	Yes No
Information on Scientist Partner #2 (3) First Name
(3) Last Name
(3) Teacher's Last Name
(3) Grade	K 1 2 3 4 5
(3) Gender	Male Female
(3) Street Address
(3) eMail Address
Do you have any special instructions to let us know about the setup of the project?