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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, 20 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: %oodles can be created with colored pencils, crayons, markers, paint, or using computer drawing or design software (unfortunately we can’t BDDFQUFOUSJFT 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: t"UJUMFGPSUIFJSEPPEMF t"TVQQPSUJOHTUBUFNFOUPGVQUPXPSETFYQMBJOJOHUIFJSi*G*$PVME%P"OZUIJOH*8PVMEwWJTJPO 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 doo- dles you wish to submit. 8SJUFUIFBQQSPQSJBUFSFHJPOOVNCFSBUUIFUPQPGZPVSNBJMJOHFOWFMPQF CFMPXZPVSTDIPPMT 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 toUIFBEESFTTCFMPX/PUFUIBUFOUSJFTUPBOZPUIFSBEESFTTXJMM/05CFBDDFQUFE: Doodle 4 Google PO Box &MNTGPSE /: "MMTVCNJUUFEFOUSJFTNVTUCFSFDFJWFECZ(PPHMFOPMBUFSUIBO11:59:59 PM Pacific Time on March 31, 208FSFDPNNFOEUIBUZPVNBJMZPVSFOUSZBUMFBTUTFWFO CVTJOFTTEBZTQSJPSUPUIF.BSDI 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. 8FDBOBDDFQUOPNPSFUIBOPOFEPPEMFQFSTUVEFOU Please remember to make a photocopy of your doodles as entries cannot be returned. See www.google.com/doodle4google for full Contest Rules. 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 8FTU7JSHJOJB Region 4 Florida Georgia North Carolina South Carolina Region 5 Illinois Indiana Michigan Minnesota Ohio 8JTDPOTJO Region 6 Iowa Kansas Missouri Nebraska North Dakota South Dakota Region 7 "MBCBNB "SLBOTBT Kentucky Louisiana Mississippi Tennessee Region 8 "SJ[POB New Mexico Oklahoma Texas Region 9 Colorado Idaho Montana Nevada Utah 8ZPNJOH Region 10 "MBTLB California Hawaii Oregon 8BTIJOHUPO Page 1 of 2 1MFBTFUZQFPSQSJOUJOCMVFPSCMBDLCBMMQPJOUQFO"MMöFMETBSFSFRVJSFE Page 2 of 2 Doodle Entry Form Title of Doodle (max 5 words) Student Name 4UVEFOU"HF Grade Level School ID# (included in your registration confirmation email) School Name 4DIPPM"EESFTT School District Name School Region (please refer to list on page one) School Telephone Number School Contact Supporting Statement 1MFBTFUFMMVTCSJFøZBCPVUIPXZPVSEPPEMFFYQSFTTFTUIFi*G*$PVME%P"OZUIJOH*8PVMEwUIFNF NBYXPSET Google will only use the information above in relation to the Doodle 4 Google Competition. ª$PQZSJHIU"MMSJHIUTSFTFSWFE(PPHMFBOEUIF(PPHMFMPHPBSFUSBEFNBSLTPG(PPHMF*OD "MMPUIFSDPNQBOZBOEQSPEVDUOBNFTNBZCFUSBEFNBSLTPGUIFSFTQFDUJWFDPNQBOJFTXJUIXIJDIUIFZBSFBTTPDJBUFE