Doodle Entry Form
How to Create Doodle Entries 1. Please make sure to register your school at www.google.com/doodle4google (the deadline is March 17, 2009 at 11:59:59 PM Pacific time). 2. Before your students start doodling, please ask each student’s parent or guardian to complete a Consent Form (also found at the above URL). Only students whose parent or guardian has consented should participate in this contest. 3. Download the Google logo template from our Necessary Forms section on the Info for Schools page and print a logo on a white, landscape sheet of 8.5 x 11 inch paper for each participating student. 4. Start those kids doodling! Note: doodles can be created with colored pencils, crayons, markers, paint, or using computer drawing or design software (unfortunately we can’t accept entries which use additional materials to create 3D effects). 5. Make sure the Google logo remains clearly visible and recognizable in the doodles you submit, as the winning doodle will be displayed on Google’s U.S. homepage. 6. Have your students write: • A title for their doodle • A supporting statement of up to 50 words explaining their “What I Wish for the World” vision. 7. Have fun! How to Submit Doodle Entries 1. Select the six best doodles from students at your school (if more than one teacher at your school is participating, please select one person to be your primary school contact). 2. Complete an Entry Form for each of these doodles. 3. Staple a signed and completed Consent Form and a completed Entry Form to each of the doodles you wish to submit. 4. Write the appropriate region number at the top of your mailing envelope (below your schools name in the return address) and in the appropriate place on the form below (you’ll find a list of regions is provided in the sidebar at the right of this form). 5. Mail your entries to: Doodle 4 Google Competition PO Box 1379 Grand Rapids, MN 55745-1379 All submitted entries must be received by Google no later than 11:59:59 PM Pacific Time on March 31, 2009. We recommend that you mail your entry at least five (5) business days prior to the March 31 deadline as we cannot accept any submissions after that date. Please note that Google is not responsible for any late submissions due to delays or disruptions in mail delivery service. We can accept no more than one doodle per student. Please remember to make a photocopy of your doodles as entries cannot be returned. See www.google.com/doodle4google for full Contest Rules.
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Region 1 Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont Region 2 New Jersey New York Pennsylvania Region 3 Delaware District of Columbia Maryland Virginia West Virginia Region 4 Florida Georgia North Carolina South Carolina Region 5 Illinois Indiana Michigan Minnesota Ohio Wisconsin Region 6 Iowa Kansas Missouri Nebraska North Dakota South Dakota Region 7 Alabama Arkansas Kentucky Louisiana Mississippi Tennessee Region 8 Arizona New Mexico Oklahoma Texas Region 9 Colorado Idaho Montana Nevada Utah Wyoming Region 10 Alaska California Hawaii Oregon Washington
Doodle Entry Form
Please type or print in blue or black ball point pen. All fields are required. Title of Doodle (max 5 words) Student Name Student Age Grade Level School ID# (included in your registration confirmation email) School Name School Address
School District Name School Region (please refer to list on page one) School Telephone Number School Contact Supporting Statement Please tell us briefly about how your doodle expresses the “What I Wish for the World” theme (max 50 words).
Google will only use the information above in relation to the Doodle 4 Google Competition.
© Copyright 2009. All rights reserved. Google and the Google logo are trademarks of Google Inc. All other company and product names may be trademarks of the respective companies with which they are associated.
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