Yes! I'd like to be a GPHSF judge!

Please email the following information to Lisa Swieson, the GPHSF Director, by January 18, 2009.

• Your name (Dr./Mr./Mrs./Ms./Miss)
• Mailing address
• Phone number
• Email address
• Grade level preference
• Grade levels of children participating in the GPHSF (if any)
• Are you a scientist or a teacher?
• How would you like your name badge to read? (example: Jane Smith, Ph.D., XYZ Pharmaceuticals or Bill Jones, Teacher, etc.)

Thank you very much for helping us out!

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