Poster Contest Registration

Name *

First Name

Last Name

Mailing Address *

Your address will only be used for the mailing of awards.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Optional, but recommended in the event we have trouble reaching you through email.

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I agree to grant permission to the Hawaii Academy of Science to exhibit and to reproduce the poster submitted for the contest. Permission is also granted to make any modifications necessary for reproduction of the poster. Permission is further granted to use the Grand Prize Winner’s name and likeness by the Hawaii Academy of Science in publicity activities for the poster & cover contest, as well as the Hawaii State Science & Engineering Fair. I understand that the Grand Prize Poster will become the property of the Hawaii Academy of Science. *

Yes, I consent