Contest entry

OFFICIAL SUBMISSION FORM

Official Program Rules

Declaration and Release Form

Contest Entry

About You
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Step 1 - Your Info

First name

Last name

Address

City

Province

Postal Code

Phone Number

Birth Date

By clicking this box I hereby accept, have read and agree to be bound by the participant release & the rules of this competition. I furthermore warrant and represent that I am at least 18 years of age and have full authority to grant the consents, releases and permissions herein. If under 18, please complete Section 1, including the additional fields provided for permission from legal guardian.

Date

Parent / Guardian Info

Full Name Parent/Legal Guardian

Parent/Legal Guardian Daytime Number

Parent/Legal Guardian Evening Number

Parent/Legal Guardian E-mail Address

By clicking this box I hereby accept, have read and agree that both I and my minor child, who is the eligible participant in this competition, accept, have read and agree to be bound by the participant release and the rules of this competition. I hereby warrant and represent that i am the parent or legal guardian of the eligible participant, and that I have the full right and authority to grant the consents, releases and permissions herein.

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