CONTEST FORM  
     
     
PARTICIPANT    
     
Participant's first name: Participant's middle initial: Participant's last name:
Participant's home phone number:  
 
Participant's e-mail:    
   
Participant's grade:    
   
     
     
SCHOOL    
     
School's full name:    
 
School address:    
 
City State Zip code
     
School's phone number    
 
Principal's first name Principal's last name  
 
     
Please paste your 500-word text below.
 
     
     
PARTICIPANT AGREEMENT  
     

I, the participant, hereby certify that the information contained in this form is true and correct and that I have read the Contest rules.