ࡱ> 796q` B$bjbjqPqP 8&::w   i28 8 8 8 8 8 8 8 $h"Q 8 8   8 8 #  8 8    h\8 , @ܔ / :90i"i :" \"\P8 L 6 , 38 8 8  8 8 8 i    D   ANNAPOLIS VALLEY REGIONAL SCIENCE FAIR 2011 REGISTRATION FORM This form is to be completed and signed by a parent/guardian and returned to the school. The school representative will fax/send this form to complete the registration. School Representatives: Please submit this form on or before Thursday, March 3, 2011. Please submit the form by board mail or fax (538-4630) to the attention of Juanita Mac Donnell. Please complete one form per project in block letters. School Name: _________________________________________________________ Grade: ______________________ Project Title: _________________________________________________________ Project is in French: n Yes (Projects in French will be judged in French) Category: Check one of the five possible categories. Life Science- biology, plant or animal science Physical Science- chemistry or physics Earth, Space Science- geology, astronomy Math/Computer Engineering- innovations and designs Grade Level: Check grade. Primary to Grade 3 This is a non-competitive level. No medals are awarded. Students will receive a certificate of participation and a ribbon which will both be sent directly to the school, not awarded on Friday evening. Grade 4 to Grade 6 Grade 7 to Grade 9 Grade 10 to Grade 12 Project Type: Check type. Experimental Study Innovation and Design Grouping: Check one. Individual Pairs (Students must be in the same grade category.) Group (Available to Primary to Grade 6 only. Maximum of 6 students. Two students only may present the project at the fair.) Class Project (Only Grade Primary to Grade 6. Two students only present a class project for judging.) Electricity: Check one. Project requires electricity Project does not require electricity Student Name: _____________________________________________ Please print. Parent/Guardian Name: _____________________________________ Please print. Parent/Guardian Telephone: Day: _______________ Evening: ________________ Parent/Guardian Signature: __________________________________ Check please: Are you a Canadian citizen or do you have landed immigrant status? % Yes % No Student #2 Name: ___________________________________________ Please print. Parent/Guardian Name: _____________________________________ Please print. Parent/Guardian Telephone: Day: _______________ Evening: ________________ Parent/Guardian+,?   % & * + 6 7 8 : ; = > T t @ L ϼxlcl[TT h"5>*hMh"5h6CJaJh-h"6CJaJh-h"56CJaJh2Xo56CJaJh[56CJaJhE? 56CJaJhy)56CJaJ hy)6 hE? 6h_h"6hE? h"56>*hE? 56>*h" hy)5hE? h"5h"CJaJhy)CJ aJ h"CJ aJ ,>?? > @ | ~    = d  & Fgd" & Fgd"gd"$a$gd"$a$gdZSB$L z | ~  @ % )45>Elxy4  ^ "!"$A$B$¡š’hwh"56>*h"56>* h65U hZS5hh"5h7Dh"5>*h h"5>* h 5 hE? 5hr8Kh"56>*hwch"5>*hh"5 h"5 h"5>* h> Qh"h"4 5JUl[5  ^`gd  & Fgd" & Fgd" & Fgd"gd" & Fgd" "L^ !! !"!B$ ^`gd gd gd" Signature: __________________________________ Check please: Are you a Canadian citizen or do you have landed immigrant status? % Yes % No No projects will be accepted from students competing in another Regional Science Fair. All projects must adhere to the regulations and policies of the Canada Wide Science Fair. 6&P1h:p / N!"#$% @@@ "NormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No Listw &,>?? >?=d 5JUl[5>EF& d y 000000000000000000 0 0 0 0 00 0 0 0 00 0 0 00 0 0 0 00 0 000000000000000@0@000L B$  B$ B$ ?LC@L"AL"BL"CL" ] ] y  c c y B*urn:schemas-microsoft-com:office:smarttagscountry-region=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace =-3y   y 3333=Ul5Fy -3y w[ Jֳ0 Cc.Fx`F@ 20Iyhpp^p`CJOJQJo(hHqh@ @ ^@ `OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhPP^P`OJQJo(hHh  ^ `OJQJ^Jo(hHoh^`OJQJo(hHhpp^p`CJOJQJo(hHqh@ @ ^@ `OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhPP^P`OJQJo(hHh  ^ `OJQJ^Jo(hHoh^`OJQJo(hHhpp^p`CJOJQJo(hHqh@ @ ^@ `OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhPP^P`OJQJo(hHh  ^ `OJQJ^Jo(hHoh^`OJQJo(hHhpp^p`CJOJQJo(hHqh@ @ ^@ `OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhPP^P`OJQJo(hHh  ^ `OJQJ^Jo(hHoh^`OJQJo(hHhpp^p`CJOJQJo(hHqh@ @ ^@ `OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhPP^P`OJQJo(hHh  ^ `OJQJ^Jo(hHoh^`OJQJo(hHc.F0Iy0`Fw[                                               E? ry)`,m9ZS2Xo6-}`["@44444L55 5 w `@` `@`` `H@UnknownG: Times New Roman5Symbol3& : Arial;Wingdings?5 : Courier New"h--j:&!24r r 2QHX)?"2+ANNAPOLIS VALLEY REGIONAL SCIENCE FAIR 2009SarahSarah      Oh+'0 (4 T ` l x,ANNAPOLIS VALLEY REGIONAL SCIENCE FAIR 2009SarahNormalSarah2Microsoft Office Word@@ Cw@oܔ@oܔ՜.+,0 hp  AVRSBr  ,ANNAPOLIS VALLEY REGIONAL SCIENCE FAIR 2009 Title  !"#$%'()*+,-/0123458Root Entry F ;'ܔ:1Table"WordDocument8&SummaryInformation(&DocumentSummaryInformation8.CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q