Online Registration Form

Thank you for registering your students online. Please fill in all the information below. You will receive confirmation via
e-mail. Parents and teachers will receive detailed event information within 10 days of registration. The online registration will be closed at 4pm on Friday, March 12, 2010.

School Name

Street

City

State

Zip

School Advisor / Teacher First: Last:

Telephone

Number of students you are registering

Please List Student Inventors Below:

IMPORTANT: List grade, student name(s), and invention name for each entry. If a student would like to be judged in the
Medical, Electrical, Solar or Rube Goldberg Machine® categories, please indicate with an M, E, S or R.

If a category selection is not required choose N/A A CATEGORY SELECTION IS NOT REQUIRED. This list will be used to prepare the program and certificates and to send information home to parents about the Celebration Day.