Lower Fair Registration Form

Region III Lower Science Fair - Registration Form

"*" indicates required fields

Project Title*

Is this a continuation of a previous year’s project?*

Yes

How many years of total work?*

Project Category (Choose one)*

Competition Class Category (Choose one)*

Student's Full Name*

First Last

Grade (Choose one)*

T-shirt Size (choose one)*

Gender*

Male

Female

Home Phone*

School Name*

County*

Student Home Mailing Address*

Street Address Address Line 2 City ZIP / Postal Code

School Mailing Address*

Street Address Address Line 2 City ZIP / Postal Code

Key Teacher at School*

Upload Abstract

Abstracts should be uploaded as a separate file to this form. Abstracts should be 25 to 250 words long and be single spaced using 12 point Times New Roman Font. The Abstract should include the purpose of the experiment, procedure, data, and conclusion. An Abstract SHOULD NOT include acknowledgements (including naming the research institution and/or mentor you worked with), self promotion, external endorsements, or work done by a mentor.

Max. file size: 125 MB.

Registration Certifications (Registration will be voided without proper signatures):

Parent Certification: Signature required for ALL Exhibitors. This is to certify that as the parent or legal guardian of the above indicated student, I give my permission for his/her participation in the Mississippi Science and Engineering Fair program.

Parent or Legal Guardian Signature*

First Last

Date*

Key Teacher Certification: I have reviewed the form(s) for both correctness and completeness. I further certify that (1) this project follows all proper procedures involving humans and/or vertebrates, (2) that school officials pre-approved the questionnaire(s) and that I and others in the school take full legal and ethical responsibility for both the questionnaire and its use in human research, and (3) that the research behind the project and display represent the work of this student. I therefore certify this registration to be a complete, authorized entry in the current year’s Regional MSEF Fair.

Key Teacher Signature*

First Last

Date*

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