E³ Fair Option I Registration

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Please Enter Contact Information:

Teacher/Advisor:
Email:                  
School:                 

Address:              
                             
City:                     
State:          Zip Code: 

Phone:

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Event Information:

Title:

Team Member 1:        Grade:   
Team Member 2*:                                   
Team Member 3*:                                   
Team Member 4*:                                   
* Optional (1 to 4 Team Members allowed)

Will you need an electrical outlet? yes    no