Phone number *
Phone number
Fax number
Fax number
Name of the person in charge *
Name of the person in charge
Name of the chaperon (if not the same as above)
Name of the chaperon (if not the same as above)
Name of participants and their category
Participant #1 *
Participant #1
Sex *
Date of birth *
Date of birth
Participant #2
Participant #2
Sex
Date of birth
Date of birth
Category *
Project presented in: *
I need an electric outlet for my project: *
The Canada Wide Science Fair
The Canada Wide Science Fair (CSWF) will be held from May 15 to May 20, 2016 in Montréal. Up to four winners from Secondary 1 to 5 are eligible to participate to the CWSF. All expenses will be paid for the winners and escort.
We are in high school, want to be judged for the CWSF, and are available from May 15 to 20: *
Project with the participation of humans or animals
Does the project involve the participation of humans or the use of animals? *
All projects involving the participation of humans or the use of animals and where there is non-trivial risk require approval by the Ethics Committee before experimentation is started. If you have any questions of concerns, look at section 5,6, and 7 of the rules or communicate with:
Martine Couture
E-mail: martine.couturei@sympatico.ca
Tel: 819-684-1889
Accommodations and Meals
Accommodations for students and chaperons will be with families in Mistissini. Breakfast, lunch, supper and healthy snacks will be provided on April 5 and 6 as well as breakfast on April 7th.
Travel
The closest airport to Mistissini is in Chibougamau. Shuttle buses will be available for delegations who are flying. Chibougamau is 110 km from Mistissini or about 1.5 hour drive.
Will you be flying to Chibougamau? *
Arrival date:
Arrival date:
Arrival time:
Arrival time:
Departure time:
Departure time:
If you have allergies or special needs, please contact the science fair coordinator.
Participants registering to the science fair agree that their photos could be used to promote the event.



This registration is being sent to:

Nellie S. Pachanos

Science Fair Coordinator

E-mail : npachanos@cscree.qc.ca

Telephone : 819-855-2230 ext 3240


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