Printable Registration Form

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History Day 2015 at James Madison University
Tuesday March 24, 2015
Registration Deadline March 16, Papers Due March 19
Entry Form
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Return this form by March 16, 2015, with $3.00 per student registration fee or email them to me at brannorn@jmu.edu; if
sending by email, you can send the registration fee separately or bring it to the contest.
Four copies of Historical Papers must also be received by this deadline, on paper or emailed to brannorn@jmu.edu.
Send the entry form, fee, and Historical Papers to History Day MSC 2001, James Madison University, 58 Bluestone Drive,
Harrisonburg, VA, 22807.
Follow new instructions for Historical Web Sites at http://www.nationalhistoryday.org/CategoryWebsite.htm
School
________________________________________________________________________
City
______________________________
Zip code _____________
Name of teacher
________________________ _______________________________________________
Email address
_____ _________________________________________
School telephone number
____________________________
Best way to contact teacher
____________________________
Title of entry
_____________________________________________________________ __________
________________________________________________________________________
For Websites: Weebly URL (with id #) ________________________________________________________
Division
___ Junior (Grades 6-8)
___ Senior (Grades 9-12)
Category
___ Historical paper
___ Individual performance
___ Individual Website
___Individual documentary
___ Individual exhibit
___ Group performance
___ Group Website
___ Group documentary
___ Group exhibit
Equipment you need us to provide
___ Floor space for performance
___ Electrical outlet
___ Slide projector
___ Digital projector
___ Projection screen
___ DVD player and monitor
Identify students participating on the next page.
Equipment notes:
Student information for this entry
1. Name (Last, First, Middle)
Grade in school ____
________________________________________
2. Name (Last, First, Middle)
Grade in school ____
____ ______________________________________
3. Name (Last, First, Middle)
Grade in school ____
____ _______________________________________
4. Name (Last, First, Middle)
Grade in school ____
___________________________________________________________
5. Name (Last, First, Middle)
Grade in school ____
___________________________________________________________
Write in additional students below.
Would you like this project to be considered for the Normandy Allies prize for projects related to the D-Day invasion of
Normandy?
YES
NO
Thank you for bringing your students to History Day 2015!
Office Use Only
Number of students in this entry
_____
Entry fee required
_____
Amount enclosed
_____
Received by
_____
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