WLSCRSEF Registration

Name
Age
Address
Phone Number
Grade Level
Parent or Guardian Name
Project Category
Division
School Name
School Address
Teacher's Name
Any special needs for project?
Email Address
Project Title

All Fields are Required

Registration Fee $10.00 - can be mailed to:

Melinda Kreisberg, Director
139 Campus Service Center
PO Box 295
West Liberty State College
West Liberty, WV 26074

or paid prior to project set-up on March 7, 2008