WSIS Poster Contest 2003 Entry Form


(Each participating student, his or her parent or legal guardian and a sponsoring teacher must sign this form.)

By signing this form, I certify that this poster is my original work and give permission to WSIS to display my work, my name and my photo. I acknowledge that submitted materials become the property of WSIS and cannot be returned.

(Please type or print clearly.)

Student Name Date
Student Signature Grade
Signature of Parent or Legal Guardian
Name and Signature of Sponsoring Teacher
School Name School email
School Address City/State/Zip

Please send poster and completed form to:
WSIS Poster Contest
United Nations Cyberschoolbus
405 East 42nd Street
Room S-931E
New York, New York 10017
USA