Body Depot Bio-Hardware Store Product Challenge Survey

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1. Participant Information

Participant Information Team Name
Name of Participant #1
Age of Participant #1
Gender of Participant #1
School of Participant #1
Grade of Participant #1 (high school students only please)
Name of Participant #2
Age of Participant #2
Gender of Participant #2
School of Participant #2
Grade of Participant #1 (high school students only please)

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2. Contact Information for Participant #1

Contact Information for Participant #1 Name:
Guardian Name and Contact #:
Address:
Address 2:
City/Town:
State (AZ residents only):
ZIP:
Email Address:
Phone Number:

3. Contact Information for Participant #2

Contact Information for Participant #2 Name:
Guardian Name and Contact #:
Address:
Address 2:
City/Town:
State (AZ residents only):
ZIP:
Email Address:
Phone Number:

4. My legal guardian and I understand that all ideas and images submitted to the Body Depot Bio-Hardware Store Product Challenge become the property of Arizona Science Center for use in exhibits and advertising as needed. For my submission to become eligible for judging, a signed paper copy of this agreement must be received by mail.

Mail a guardian- and applicant-signed and dated copy of the above agreement to:

Body Depot Bio-Hardware Store Product Challenge
c/o Carole Flores
Arizona Science Center
600 East Washington Street
Phoenix, AZ 85004

My legal guardian and I understand that all ideas and images submitted to the Body Depot Bio-Hardware Store Product Challenge become the property of Arizona Science Center for use in exhibits and advertising as needed. For my submission to become eligible for judging, a signed paper copy of this agreement must be received by mail. Mail a guardian- and applicant-signed and dated copy of the above agreement to: Body Depot Bio-Hardware Store Product Challenge c/o Carole Flores Arizona Science Center 600 East Washington Street Phoenix, AZ 85004 I agree to relinquish the rights to my ideas to Arizona Science Center.

I agree to send a signed and dated paper copy of this agreement to Arizona Science Center.

I do not agree to either statement above.