Teen Historian Project Entry Form

Your Name

Your Email Address

Reason for Inquiry

Your Age

If you are under 18 years old, you must have a parent or guardian's permission to submit.

(If over 18, type NA in the boxes below.)

Parent/Guardian Full Name & Relation

Example: John Smith- Father

Parent/Guardian Phone Number

Parent/Guardian Email

Thank you for taking the time to participate in this project! You may be notified by email when the community project is completed and ready to be shared.

Please tell us in the text box below how you would like to share your submission:

Options: Share my full name with my project, Share only my first name and last initial, Share as Anonymous, Do not share my age with my project, Do not share my project publicly.