PROJECT VERIFICATION FORM

 This form MUST be submitted WITH the project at the fair.

I,_____________________________________________________________________________________

(Parent/Guardian Signature/s)

verify that the project (including log book if required) submitted to the Fort Atkinson Science Fair is the

product of original work done by_____________________________________________________________

(Entrant’s or Team name)

and any assistance rendered was not of significant nature and has been duly noted on the project or in the log book according to rules # 7 and 10.

Project Title:___________________________________________________________________________

Grade Division:_________________________________________________________________________

Entry Number:______________________________________ (To be filled in by FASF Set-up Committee)