CUMBERLAND PLATEAU REGIONAL SCIENCE & ENGINEERING FAIR

OFFICIAL REGISTRATION FORM

Name:

Age:

Grade:

Gender:

Mailing Address:

City:

State:

Zip Code:

County:

Email Address:

Telephone Number:

School:

Teacher's Name:

Are you in 9th grade wishing to compete as a senior?

Title of Exhibit:

Class of Exhibit:

Type of Exhibit:

Do you need 120volt A.C. electricity for your exhibit?


By submitting this application, you are agreeing to our terms.


I agree to abide by the rules of the Cumberland Plateau Regional Science and Engineering Fair. I certify that I am entering an exhibit that is my own work. I will leave my entire exhibit on display until 5:00 PM and will remove it by 6:00 PM on Saturday. I understand that it is my responsibility to see that this registration form is completely and correctly filled out. I agree that I will abide by the rules of the Cumberland Plateau Regional Science and Engineering Fair. I understand that neither the Science Fair Committee nor the sponsors assume any responsibility for loss or damage to any exhibit or part thereof.


Please fill out and submit this form only once. Bring all other forms to display with the project.


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