North Alabama Regional Science and Engineering Fair

Please fill in this form to register. The red dots indicate required fields.

First name   *    
Middle name      
Last name   *    
Student Age   *    
Grade      

Parent or Guardian Name   *    
Home Address   *    
Address (cont.)      
City   *    
State   *    
ZIP Code   *    
Home Phone   *    
Parent or Guardian Work Phone      
Parent or Guardian Mobile phone      
E-mail   *    
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Sponsoring Teacher   *    
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School Name   *    
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School Address      
Street address of your school
School Address (cont.)      
School City   *    
School State   *    
State
School Zip   *    
School Phone   *    
Just in case we have to call your school
Project Title   *    
Project Category   *    
Select your first choice for project category
Project Category 2nd Choice (In case categories must be condensed)   *    
Select your second choice for project category, just in case the categories must be condensed
Short Description of project   *    

Team Project?       Team Project?
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Team Members      
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