2006 Hydro Power Contest

DECLARATION OF INTENT TO COMPETE

To enable us to plan the competition events at HydroVision 2006, complete a separate declaration, and enclose $20 payable to Hydro Power Contest, for each team member. Student Division competitors must also provide proof of full-time enrollment in a high-school, college, or university. Return the forms no later than June 1, 2006, to:

DECLARATION OF INTENT

Enter my device(s) under the Entry Name:________________________________________________________________________
(individual or team name)

Affiliation:_______________________________________________________________________________________________________
(school or company)

Enter my device in the:

My on-site representative's name is:_________________________________________________________________________________

[ ] I cannot arrange for on-site representation of my contest entry. Please send me information on sending my device to the contest.

Current Address Information:

Dates Applicable:_____________________________

Name:__________________________________________________________________________________________________________

Address:________________________________________________________________________________________________________

City:_______________________________State/Province:______________________________

Zip/Postal Code:___________________Country:________________________________

Daytime Telephone:_________________________FAX:_________________________E-Mail:_________________________________

Summer Address Information:

Dates Applicable:_____________________________

Name:__________________________________________________________________________________________________________

Address:________________________________________________________________________________________________________

City:_______________________________State/Province:______________________________

Zip/Postal Code:___________________Country:________________________________

Daytime Telephone:_________________________FAX:_________________________E-Mail:__________________________