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Thank you for your intrest in the Calumet Regional Science Fair. Please complete the following form and submit it for consideration as a judge at this years Fair.

Name: Title:

Firm/School:

Email:

Address:

City, State, ZIP:

Phone: Ext:

College Major: Minor:

This is my serving as a judge.

Please Choose 3 categories you would like to judge.

First Choice:

Second Choice:

Third Choice:

Coffee and rolls will be served at 8:30 am and there will be a luncheon for the judges and Calumet Regional Science Fair workers beginning at 12:30 pm.

Will you be able to Attend the Luncheon?

The Calumet Regional could not happen without volunteer judges, if you know of another qualified person who could also serve as a Calumet Regional Science Fair Judge please ask them to complete this form and submit it by March 1, 2005.

Date of Science Fair is March 12, 2005, Judging will take place between 9:00 am and 12:30 pm followed by a luncheon.