Today's Date: (example: 01/29/07)

Name (and/or Number) of School:  

Address:    

City:       State:      Zip:  

Phone:   (example: 317-252-5900)    ext.   Fax:             

Email:   

School Contact Person:        

Alternate Contact Person:

Date of Science Fair    (example: 01/01/07) 

Or

Date of Invention Convention  

Time judges should report for orientation:  (example: 8:00 a.m. or 1:00 p.m.)

Beginning and completion time for fair-  from:     to   (see example above)

Location of activity: (gym, cafeteria, etc., please be as specific as possible)

Grade levels involved:

Anticipated number of students/exhibits: 

Number of ESC Judges needed:   (enter a number between 1 and 6) 

Note: Due to the various schedules of our volunteers, we can not guarantee any specific number of judges for any particular fair. However, we will do our best to obtain as many judges as possible for all scheduled fairs.

Are you interested in obtaining a copy of ESC's Science Resource Manual?    Yes         No 

Directions & Special Instructions: (including parking)

When you have completed this form please click the submit button below. 

THANK YOU!