Game Date/Time:  Monday, May 29, 1:05 PM

Who are you (check one):
     Student that received a Grand, 1st, 2nd, or 3rd place award in the 2023 Science Fair
    Teacher of a student that participated in the Science Fair

Your Name:                       

If you are a student, what is your 4 digit ID number (hint, it is on the bottom of your certificate or available on-line as part of the exhibit location).  It is also on the envelope from the awards ceremony.  If you are a teacher, what is the 5 digit number of one of your students?
Student ID Number:         

Contact Information:
    Phone Number:                (format of xxx-xxx-xxxx)

   eMail Address:              
 

MINIMUM number of Tickets desired (including yourself):       1          2         3          4

MAXIMUM number of Tickets desired (including yourself:)     1          2          3          4

If you do not receive the tickets in this first allocation, do you want to be considered for a last minute, waitlist (due to people cancelling at the last minute)?
     YES - I DO want to be added to the wait list
    NO - I do not want to be on the wait list
  

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