Note:	This form is for your convenience only. You may also simply print or type the required information on a sheet of paper and attach to the back of the entry.
Title of Entry	1.
Child's Full Name	2.
Child's Birth Date	3.
Parent's Name	4.
Home Address Must reside in either Harris or Ft. Bend County	5.
Home Phone #	6.
Work Phone #	7.
Cell Phone #	8.
Email Address	9.
School Name	10.
Grade	11.
Principal	12.
Teacher	13.
Contact information for teacher or principal (phone #, email address)	14.