2008 REGIONAL
HISTORY DAY COMPETITION
“Conflict and Compromise in History ”
OFFICIAL ENTRY FORM
Please note that group entries require only one form. One student from the group should serve as the contact person and should complete the front of this entry form. Provide information on the other group members on the back of this form. Only the parent’s signature of the contact student is required for a group.
Student’s Name (print) ____________________________________________ Grade ________
Student’s Home Address _________________________________________________________
________________________________ Home Phone _____________
Parent’s Name _________________________________________________________________
School _______________________________________________________________________
Sponsoring Teacher _____________________________________________________________
School Address ________________________________________________________________
Type of Entry
DIVISION (check one)
Junior _____ (6-8th grade) Senior _____ (9-12th grade) |
CATEGORY (check one)
Historical Paper _____ Individual Project _____ Group Project _____ Indiv. Performance _____ Group Performance _____ Individ. Documentary _____ Group Documentary _____ Indiv. Web Page _____ Group Web Page _____ |
PROJECT TITLE (please print as clearly as possible): ____________________________________
______________________________________________________________________________
______________________________________________________________________________
Is this project to be entered into the Regional History Competition? ___ yes ___ no (Only projects on PA history)
Is this project to be entered into the Global History Competition? ____yes ___ no (Only projects on non-U.S. history)
Specific Equipment Needs: _______________________________________________________
(Note: We will try to supply the necessary equipment, but we cannot guarantee its availability. Groups are strongly advised to bring their own.
IMPORTANT: Please send the Official Entry Form(s) and a fee
of $5.00 per student (checks payable
to “
ALL GROUP MEMBERS SHOULD COMPLETE THE FOLLOWING:
Group Participant #2
Name ________________________________________________________________________
Address ______________________________________________________________________
__________________________________________ Home Phone _________________
Name of Parent (s) ______________________________________________________________
Group Participant #3
Name ________________________________________________________________________
Address ______________________________________________________________________
__________________________________________ Home Phone _________________
Name of Parent (s) ______________________________________________________________
Group Participant #4
Name ________________________________________________________________________
Address ______________________________________________________________________
__________________________________________ Home Phone _________________
Name of Parent (s) ______________________________________________________________
Group Participant #5
Name ________________________________________________________________________
Address ______________________________________________________________________
__________________________________________ Home Phone _________________
Name of Parent (s) ______________________________________________________________
I verify that this
entry (group or individual) has been researched during the 2007-2008 school
year by the named students and that said entry conforms to the rules
established by the National History Day Guide.
Student’s Signature _____________________________________________________________
Date _______________________________
Sponsoring Teacher’s Signature ____________________________________________________
Date _______________________________
Parent’s Signature ______________________________________________________________
Date _______________________________