On the Town: Stories of New York in World War II
Student Competition Official Entry Form

This form must be completed in its entirety and submitted with your project. If your project is a team effort, we must receive one form for each student.

Student Information:

Name __________________________________________________

Address __________________________________________________

              __________________________________________________

Phone __________________________________________________

E-mail __________________________________________________

School __________________________________________________

Grade __________________________________________________

Age __________________________________________________

By signing below, you hereby acknowledge that you have read, understand and agree to all provisions of the Competition Rules and Releases:

Student Signature __________________________________ Date________

Parent/Guardian Signature ___________________________ Date________
(If under 18, parent/guardian signature required.)

Optional - Sponsoring Teacher Information:

Name __________________________________________________

Subject __________________________________________________

Phone __________________________________________________

E-mail __________________________________________________

Signature __________________________________________________