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STUDENT’S NAME

(IF APPLICABLE)

AGE GRADE GENDER:

PARENT/GUARDIAN’S NAME

ADDRESS

CITY STATE ZIP

PARENT/GUARDIAN’S PHONE NUMBER

EMAIL ADDRESS

SCHOOL NAME

SCHOOL ADDRESS

SCHOOL PHONE NUMBER

TO BE COMPLETED BY PARENT/LEGAL GUARDIAN OF STUDENT ENTERING THE CONTEST.

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SUPPORTING STATEMENT:3OHDVH�WHOO�XV�EULHȵ\�KRZ�\RXU�GRRGOH�H[SUHVVHV�WKH�WKHPH“My best day ever...” �PD[����ZRUGV�� �W���

OFFICIAL ENTRY FORM

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PARENT/GUARDIAN’S

MALE FEMALE

FULL-TIME

My best day ever. . .TO ENTER: 1. $Q�HOLJLEOH�HQWU\�FRQVLVWV�RI��� � D��3DJH���RI�WKLV�IRUP�FRPSOHWHG�DQG�VLJQHG�E\�WKH�VWXGHQWV�SDUHQW�JXDUGLDQ��� � E��7KH�DUWZRUN�VXEPLVVLRQ�FRPSOHWHG�RQ�SDJH���RI�WKLV�IRUP��%RWK�SDJHV�PXVW�EH�VXEPLWWHG�WRJHWKHU���� )RU�OHJLELOLW\�SXUSRVHV��ZH�HQFRXUDJH�\RX�WR�FRPSOHWH�WKH�IRUP�RQ�\RXU�FRPSXWHU�DV�WKH�ȴHOGV�DUH�HGLWDEOH�3. OQFH�FRPSOHWH��SOHDVH�SULQW�RXW�WKH�IRUP�RQ�D�OLJKW�FRORUHG�����[����VKHHW�RI�SDSHU��%H�VXUH�WR�SULQW�RQ���VHSDUDWH�SDJHV������0DNH�VXUH�WKH�VWXGHQWV�SDUHQW�RU�JXDUGLDQ�KDV�VLJQHG�WKH�IRUP�RQ�WKH�DSSURSULDWH�OLQH��7KH�HQWU\�ZLOO�QRW�EH�FRQVLGHUHG�� ZLWKRXW�WKLV�VLJQDWXUH�������<RX�FDQ�HLWKHU�PDLO�WKH�HQWU\�WR�WKH�DGGUHVV�EHORZ��RU�XSORDG�WKH�HQWU\�IRUP�WR�VXEPLW�RQOLQH��6HH�ZZZ�JRRJOH�FRP�GRRGOH�JRRJOH������IRU�RQOLQH�HQWU\�GHWDLOV��5HJDUGOHVV�RI�PHWKRG�RI�HQWU\��DOO�HQWULHV�PXVW�EH�UHFHLYHG�E\�March 22, 2013.

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PARENT/LEGAL GUARDIAN SIGNATURE DATE

NICKNAME

SCHOOL ONLINE AD NEWS+RZ�GLG�\RX�KHDU�DERXW�WKLV�FRQWHVW"

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USE THIS SPACE TO CREATE YOUR GOOGLE DOODLE: ▼

CHILD’S FULL NAME:

STATE: GRADE GROUP: Grades K-3 Grades 6-7 Grades 10-12 Grades 4-5 Grades 8-9

OFFICIAL ENTRY FORM

TITLE OF YOUR DOODLE:

My best day ever. . .