Final Entry Form

Fill in this form to enter the Canterbury – Westland Schools’ Science and Technology Fair.

Exhibit Details

Class Number (e.g. Y8S, Y7T) (required)

Exhibitor/Group Leader

First Name (required)

Family Name (required)

School (required)

Form Class (required)

Home Phone (required)

Mobile Phone

Email

Home Address (required)

Name of other group members (if applicable)
Maximum group number is three i.e. The leader and two others.

Name

Form Class

Name

Form Class

Name

Form Class

Exhibit title to be shown in the programme (required)

Brief description of the exhibit (required)
This is a description of what your
exhibit is about, not what it will look like e.g. what is your hypothesis or what are you making.

Exhibit Details
Hold down CTRL and select the appropriate options below if your exhibit has any of the following:

Project involves humans Project using non-human animalsProject using endangered native plantsProject involving dangerous chemicals Project involves high voltage or high currentYes, I need 240V mains supplyProject involves electromagnetic emissions (e.g. UV, RF, microwaves

Note: There is an entry fee of $5 per person, payable with this entry to your school Science and Technology Fair Coordinator. This fee entitles the exhibitors’ families to free admission to the Science and Technology Fair on the days of the event (to the value of $10.00)

 Send me a copy of this message