GEORGIA EDUCATIONAL TECHNOLOGY COMPETITION ENTRY FORM
This information is required for State Techfair reporting purposes

Region: Fulton      Director: Maryelizabeth Ward     Director's Email: WardM@fultonschools.org

IMPORTANT!!!! - CHECK SPECIAL REGION INFORMATION HERE BEFORE YOU BEGIN

PAGE 1 of 2 PAGES - BOTH PAGES MUST BE COMPLETED

*Required Field for Individual           *Required Field for 2 Person Team

INDIVIDUAL or TEAM MEMBER #1                                                 TEAM MEMBER #2 (IF 2 PERSON TEAM)

**  First Name * 
**  Last Name * 
**  City * 
**  State * 
**  Residence Zip * 
**  Residence County * 
** Gender *
**  Parent/Guardian Email (One Only) * 
**  Re-enter Parent/Guardian Email * 
**  Parent/Guardian Phone# * 
** School Select *
??  Non-listed School ? 
??  County of Non-listed School ? 
** Grade Level *
**  School Advisor * 
**  School Advisor Email * 
** T-Shirt Size *