CURIOUS QUESTIONS Contest Entry Form

Student's first/given name*

Student's last/family name (will not be used publicly)*

Student's age*

Address (only the state/province will be used publicly)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email (will not be publicized)

Phone (only used for communication if emails bounce)

Please affirm:*

My student and I understand that by entering this contest, my student's questions may be shown on the live contest webinar.

Please indicate your preference:*

My student and I affirm that my student's questions may be displayed on the Cover Story website and official Facebook page.
My student and I do NOT want my student's questions to be displayed on the Cover Story website and official Facebook page.

Please type or paste your student's entry. The student may submit up to 5 questions.*