Upper Registration Form for Region III Science and Engineering Fairs

Project Title*

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

Yes
No

How many years of total work?*

Entry Type

Team Entry (no more than two people per team)
Individual Entry

Project Category (Choose one)*

Competition Class Category (Choose one)*

Student's Full Name*

First Last

Grade (Choose one)*

Student T-shirt Size*

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 ALL Required Forms and Additional Forms, if needed*

Required UPPER Regional Science Fair Forms: The Upper fair requires that all participants upload a copy of the abstract, Form 1, 1A, and 1B. These forms are required to participate.

Additional Forms based on project: Additional forms are required by participants based on their project. The following forms must be uploaded below IF you feel your project falls into the category of that particular form: Form 1C, Form 2, Form 3, Form 4, Form 5A, Form 6A, Form 6B, Form 7.

[Please upload the required forms (Abstract, Form 1, Form 1A, and Form 1B) and any additional forms to this location]

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*

Name

This field is for validation purposes and should be left unchanged.

Region III Upper Science Fair - Registration Form