Name of exhibitor    Grade   Age    Male: Female: 
T-shirt sizes: YS    YM    YL    S    M    L    XL    XXL 

Team members name     
Team members name     
Team members name  

Team Name: (Use a name specific to your project title):

All team members must complete an application to be eligible for any awards.

All members of a team must pay the registration fee to be eligible for any awards.

Address City Zip   Phone 

Place a check in the boxes which represent your project.

DIVISION: Division I (9-12) Division II (4-8)

Name of School
If a high school participant, is your school: Public Public (with Magnet Program)Private/Charter Home Schooled 

Address of School

Principal's name         School Phone #

Teacher's name   Teacher's email

If faxing or mailing this application, please attach a brief description of your project (typed or printed) on the back of this application. This MUST BE FILLED OUT or the project will be disqualified.

PARENTAL APPROVAL: I certify that to the best of my knowledge, this exhibit was essentially completed by and is largely the work of the student named above, and I give my approval for its showing at the Kansas Science and Engineering Fair. I also understand that NO project can be removed until after the awards ceremony. NO EXCEPTIONS. I have seen and read the rules for the fair. (Get a copy of rules from your teacher.)

If the parental approval and the press release boxes are not checked the entry form cannot be submitted.

Parent These boxes must be checked: Parental Approval:   Press release:

KSSEF PROJECT

Project Title:

Question (Why did you conduct the experiment? What did you hope to learn?)

Hypothesis (What did you think would happen?)

Procedure