I presented a project at a P.J.A.S. Region meeting in: (circle your answer)
      7th grade      8th grade      9th grade      10th grade      11th grade

PJAS Region Registration Form

Please type or Print very neatly:

___________________ __________________ ________ ____-____-____
First Name                  Last Name                   Sex     Social Security No.

__
_3____  ___________
Region              Grade

Research Title (limit to 60 characters)

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

School Name:    Howard A. Eyer Middle School
School Address:   5616 Buckeye Road
   Macungie, PA  18062
School Phone:  (610) 965-1600
School Sponsor: Mr. DiRado

Research Area:  Check the research area.
If the research could overlap areas please rank as 1, 2, 3.

___ Behavioral/Psychology (BEH)   ___ Botany (BOT)          ___ Earth and Space (ES)    ___ Microbiology
___ Biochemistry (BC)                      ___ Chemistry (CHM)  ___ Ecology (EC)                ___ Physics (PHY)
___ Biology (BIO)                            ___ Computer (CPS)     ___ Mathematics (MAT)    ___ Zoology (ZOO)

Student Address:   __________________________________________

                            ___________________________________________
                             City                        State                         Zip

Home Phone:    ___________________________________________

We certify that this research has been conducted by the student in accordance with the Pennsylvania Junior Academy of Science rules and with advice only from others.  We further agree to accept the Judge�s evaluation of this research as final.  In addition, we agree to make every attempt to have the student present at the Region Competition and at the State Competition should he/she receive a First Award at the Region Competition. 

Signature of Student ______________________________________  Date _____________

Signature of Parent ______________________________________  Date _____________

Signature of Sponsor ______________________________________  Date _____________
The form below must be filled out with a hard copy printed and returned to Mr. DiRado.
P.J.A.S. Science Fair Information
What is P.J.A.S.?
The Regional Level Competition.
The State Level Competition.
The Local Level Competition.
New          2008        New
Regional award winners
          Last year's
State award winners
The Oral Presentation.
The Research Paper.
Take me back to Mr. D's main page.
Eyer's Timeline
Created by Mr. DiRado
Hosted by www.Geocities.ws

1