2012SafeWiseWeb

2013 Poster Contest Entry Form
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Teacher:				Photocopied entry forms are acceptable. Postmark deadline is Friday, October 19, 2012. Mail entries with entry form to: Department of Boating & Waterways Safe & Wise Water Ways Contest 2000 Evergreen Street, Suite 100 Sacramento, CA 95815-3888
School:
City, State, Zip:
Phone:
E-mail address:
List of Entrants

Name	Grade	Name	Grade














I hereby certify all posters were composed by the students named above and I understand all entries become the exclusive property of the California department of Boating and Waterways. The department has the right to display or otherwise use the submissions and modify any poster for future reproduction. The poster entries cannot be returned.

Signature of Teacher