official entry form   

Complete return with online entry.
All materials submitted will be retained by the HBA.

All entries must be received by May 31, 2007. 

NAME

TITLE

ADDRESS

 

CITY                                       STATE                                                  ZIP

WORK PHONE

FAX NUMBER

WORK E-MAIL

HOME ADDRESS

CITY

STATE             ZIP

HOME PHONE

HOME E-MAIL

TITLE OF ENTRY


How many students did the program reach? ____________________________


SIGNATURE   _________________________________________________


Entry submitted  is :   _____ Lesson Plan     or     ______ Community Project

Please check one of the following:  

 _____Classroom Family and Consumer Sciences Educator
              Name of School: _____________________________

_____Extension Food and Nutrition Specialist
              Office: _____________________________

_____Community-Based Home Baking Program, such as Camp Fire USA, Boys & Girls Club, 4-H, after-school programs etc.               Name of Organization: _____________________________

 _____Home Schooling Parent

_____Youth Teaching Youth

Entrant agrees to indemnify and hold harmless the sponsors from claims,
damages, liabilities and expenses arising out of any infringement or misrepresentation contained in the entry.  Prizes are subject to tax law.  Award winner must assume full responsibility for prize.  Prizes will not be awarded if criteria are not met.  Mailed entries will not be returned.



Provide description of baking project:





Attach baking lesson or activity materials:







HOME BAKING ASSOCIATION
 2931 SW Gainsboro Road
Topeka, Kansas 66614-4413
Telephone: (785) 478-3283
Fax: (785) 478-3024
www.homebaking.org