PJAS Region Presenter Registration Form s1

PJAS Region Presenter Registration Form Date of competition 2/26/11 Cost $20.00

Please type or print neatly:

______M __ F First Name Last Name Gender

___1B______Region Grade Years in PJAS (Including this year)

Research Title (Limited to 60 Characters)

______

School Name: ______

Sponsor (teacher): ______

Research Area: Check the research area

____ Biochemistry ____ Behavioral/Psychology ____ Biology general

____ Botany ____ Chemistry ____ Computer Science

____ Ecology ____ Earth and Space ____ Mathematics

____ Microbiology ____ Physics ____ Zoology

Student Address: ______

______City State Zip

Home Phone ______PJAS Region Presenter Permission Form

We certify that this research has been conducted by the student in accordance with the International Science and Engineering Fair rules as adopted by the Pennsylvania Junior Academy of Science. We further agree to accept the Judge’s evaluation of this research as final.

In consideration of the furtherance of your purpose, objectives, and work and in consideration of your permitting me to participate in the PJAS regional meeting and state meeting on behalf of myself, my heirs, executors, administrators and assigns, I hereby waive and release any and all rights for damages I may have against you, the school district, School District of Cheltenham Township, and the Pennsylvania State University as well as any other persons connected with the Pennsylvania Junior Academy of Science Regional Meeting and State Meeting, their heirs, executors, administrators and assigns for any and all injuries which I may suffer while taking part in the Pennsylvania Junior Academy of Science regional Meeting and State Meeting or as a results thereof.

Signature of Student ______Date ______

Signature of Parent ______Date ______

Signature of Sponsor ______Date ______

Note: This form may not be altered. The signatures of student, parent, and sponsor are required. If the permission form is missing, the student will not be allowed to compete.

Photo Release: PJAS is making an effort to promote the positive achievements of our participants. We seek your permission for PJAS to take photographs of your child in connection with the PJAS Regional and State competitions and your authorization for PJAS to copyright, use, and publish the same in print and/or electronically. PJAS will not identify your child by name in the photographs.

_____ I give PJAS permission to photograph my child under the above guidelines.

_____ I request that PJAS does not photograph my child.

______Date ______Parent’s Signature 2011 PJAS Competition February 26, 2011 Region 1B 7:30 AM Cheltenham High School

How it works: The students at the regional meeting are divided into units of around ten students who are all in the same area of scientific research, such as chemistry. A panel of two or more judges then evaluates the student's project presentation against set criteria. The students can receive a first, second or third award on their project. Each unit can have more than one first award. Students who receive a first award are then eligible to go to the State Meeting at Penn State University the third weekend in May.

The cost of student registration is $20.00 Have checks made out to WSD & write “PJAS” & “Pietrangelo” in Memo section. Checks must be submitted to Mrs. Pietrangelo with completed forms NO LATER than Monday, January 3, 2011.

You will need to register online at http://www.pjas.net/. The deadline will be January 7th, 2011.

What you need at the competition: You need to have your presentation on transparencies. Please do this sooner than later. Transparencies can be made at Kinko’s, Staples, etc. or they can be purchased at any office supply store and made at home (PLEASE MAKE SURE YOU ARE BUYING THE RIGHT KIND – SOME CAN MELT AND RUIN YOUR PRINTER).

If you need help: Set up a time to meet with Mrs. P in the weeks before the competition, either before school any day, or on Tuesday or Thursday after school. This way I can sit down with you and discuss any improvements etc.

If you have any questions please do not hesitate to ask.

Good Luck,

Mrs. Pietrangelo.