Teacher Coordinator Name *

First Name

Last Name

Types of Projects your Students will do *

You may select all.

Exhibits

Papers

Documentaries

Websites

Performances

Podcasts

Group Projects

Individual Projects

Has Teacher Coordinator Participated in History Day in a previous year? *

Yes

No

School Principal Name *

First Name

Last Name

I certify that by submitting this registration form I have permission to enroll my school in the History Day program and have made arrangements for the $450 registration fee to be paid. *

Checking this box and submitting form serves as authorized signature

Name of person submitting registration form *

First Name

Last Name

Payment Information *

The school fee for this program is $380.00. Please select how your school will make payment.

School will mail a check

Please invoice my school

School will mail a P.O to Lyceum

Other - Explain in comments section below.