{"id":344,"date":"2020-09-27T22:12:02","date_gmt":"2020-09-28T03:12:02","guid":{"rendered":"https:\/\/www.deltastate.edu\/sciencefair\/?page_id=344"},"modified":"2026-01-06T10:54:33","modified_gmt":"2026-01-06T16:54:33","slug":"lower-fair-registration-form","status":"publish","type":"page","link":"https:\/\/www.deltastate.edu\/sciencefair\/lower-fair-registration-form\/","title":{"rendered":"Lower Fair Registration Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Region III Lower Science Fair - Registration Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/sciencefair\/wp-json\/wp\/v2\/pages\/344' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_1'>Project Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is this a continuation of a previous year\u2019s project?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_2'>\n\t\t\t<div class='gchoice gchoice_3_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Yes'  id='choice_3_2_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_2_0' id='label_3_2_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='No'  id='choice_3_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_2_1' id='label_3_2_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>How many years of total work?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_5'>Project Category (Choose one)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_3_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='0100 Behavioral &amp; Social Sciences' >0100 Behavioral &amp; Social Sciences<\/option><option value='0200 Biochemistry' >0200 Biochemistry<\/option><option value='0300 Inorganic Chemistry' >0300 Inorganic Chemistry<\/option><option value='0400 Organic Chemistry' >0400 Organic Chemistry<\/option><option value='0500 Earth &amp; Environmental Sciences' >0500 Earth &amp; Environmental Sciences<\/option><option value='0600 Animal Sciences' >0600 Animal Sciences<\/option><option value='0700 Biomedical &amp; Health Sciences' >0700 Biomedical &amp; Health Sciences<\/option><option value='0800 Microbiology' >0800 Microbiology<\/option><option value='0900 Physics &amp; Astronomy' >0900 Physics &amp; Astronomy<\/option><option value='1000 Engineering Mechanics' >1000 Engineering Mechanics<\/option><option value='1100 Mathematics &amp; System Software' >1100 Mathematics &amp; System Software<\/option><option value='1200 Robotics &amp; Intelligent Machines' >1200 Robotics &amp; Intelligent Machines<\/option><option value='1300 Plant Sciences' >1300 Plant Sciences<\/option><\/select><\/div><\/div><div id=\"field_3_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Competition Class Category (Choose one)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_3_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Class 1 (1st, 2nd, 3rd grades)' >Class 1 (1st, 2nd, 3rd grades)<\/option><option value='Class 2 (4th, 5th, 6th grades)' >Class 2 (4th, 5th, 6th grades)<\/option><\/select><\/div><\/div><fieldset id=\"field_3_7\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student&#039;s Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_7'>\n                            \n                            <span id='input_3_7_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.3' id='input_3_7_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_7_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_7_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.6' id='input_3_7_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_7_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>Grade (Choose one)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_3_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1st grade' >1st grade<\/option><option value='2nd grade' >2nd grade<\/option><option value='3rd grade' >3rd grade<\/option><option value='4th grade' >4th grade<\/option><option value='5th grade' >5th grade<\/option><option value='6th grade' >6th grade<\/option><\/select><\/div><\/div><div id=\"field_3_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_25'>T-shirt Size (choose one)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_3_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Youth Small' >Youth Small<\/option><option value='Youth Medium' >Youth Medium<\/option><option value='Youth Large' >Youth Large<\/option><option value='Youth XLarge' >Youth XLarge<\/option><option value='Adult Small' >Adult Small<\/option><option value='Adult Medium' >Adult Medium<\/option><option value='Adult Large' >Adult Large<\/option><option value='Adult X-Large' >Adult X-Large<\/option><\/select><\/div><\/div><fieldset id=\"field_3_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_9'>\n\t\t\t<div class='gchoice gchoice_3_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Male'  id='choice_3_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_0' id='label_3_9_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Female'  id='choice_3_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_11\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Home Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_3_11' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>School Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_3_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>County<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_10\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Home Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_3_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_3_10_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_10_1' id='input_3_10_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_10_2_container' >\n                                        <input type='text' name='input_10.2' id='input_3_10_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_10_2' id='input_3_10_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_3_10_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_10_3' id='input_3_10_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_10.4' id='input_3_10_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_3_10_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_10_5' id='input_3_10_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_3_10_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3_14\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >School Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_3_14' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_14_1_container' >\n                                        <input type='text' name='input_14.1' id='input_3_14_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_14_1' id='input_3_14_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_14_2_container' >\n                                        <input type='text' name='input_14.2' id='input_3_14_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_14_2' id='input_3_14_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_3_14_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_14_3' id='input_3_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_3_14_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_14_5_container' >\n                                    <input type='text' name='input_14.5' id='input_3_14_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_14_5' id='input_3_14_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_14.6' id='input_3_14_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Key Teacher at School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_3_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_17\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Upload Abstract<\/label><div class='gfield_description' id='gfield_description_3_17'>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.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='131072000' \/><input name='input_17' id='input_3_17' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_17 gfield_description_3_17\" onchange='javascript:gformValidateFileSize( this, 131072000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_17'>Max. file size: 125 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_17'><\/div><\/div><\/div><div id=\"field_3_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>Registration Certifications<\/strong> <em>(Registration will be voided without proper signatures)<\/em>:<\/p>\n<strong><em>Parent Certification<\/em><\/strong>:  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.<\/div><fieldset id=\"field_3_20\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Parent or Legal Guardian Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_20'>\n                            \n                            <span id='input_3_20_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.3' id='input_3_20_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_20_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_20_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.6' id='input_3_20_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_20_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_22'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_3_22' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_22_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_22_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_22' class='gform_hidden' value='https:\/\/www.deltastate.edu\/sciencefair\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_21\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong><em>Key Teacher Certification<\/em><\/strong>:  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\u2019s Regional MSEF Fair.<\/div><fieldset id=\"field_3_23\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Key Teacher Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_23'>\n                            \n                            <span id='input_3_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_3_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_23_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_3_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_23_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_24\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_3_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_24' class='gform_hidden' value='https:\/\/www.deltastate.edu\/sciencefair\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_26\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_26'>CAPTCHA<\/label><div id='input_3_26' class='ginput_container ginput_recaptcha' data-sitekey='6LeCIkIsAAAAAP-1YjMxfl8GpqYFPng33SbY5Cr3'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_3_27\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_27'>LinkedIn<\/label><div class='ginput_container'><input name='input_27' id='input_3_27' type='text' value='' 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