Huachuca Astronomy Club (HAC) of Southeastern Arizona Essay Contest Entry Form (attach essay to this form) (Please print and fill in all information, and provide your signature, below) Name of Contestant: Age of Contestant: Parent/Guardian Name(s): Mailing Address: Telephone: E-mail: Title of Essay: “If I Had a Telescope” Word Count:____________ (May we publish any of the following information on the Web site or Nightfall newsletter? (please circle Yes or No): Name Y / N City Y / N Essay Y / N Rules: The essay should be 300 words or less, and may be handwritten or typed. The contestant must be a HAC member or family member of a Family Membership. The essayist must be 16 years of age or under on the deadline. The deadline is: June 18, 2008. Waiver (required for entry). I certify that this entry is original work. I realize that contest judging is subjective by nature, and this entry may not be judged a winner. In consideration of the HAC’s acceptance of this entry, I agree to indemnify, defend, and hold harmless, all club directors and judges, sponsors, and participants of the contest from liability for any actions arising from or related to judging and handling of this entry, as well as conducting, sponsoring, and advertising this contest. (Parent/Guardian’s Signature: _____________________________________________ (Date:_____________________ QUESTIONS? Please send email to: info@hacastronomy.com Web site: http://www.hacastronomy.com/contest.htm Or call Keith Mullen: 520-366-0049 v. 1.0 Revised 04/18/08