811 Video Contest Entry Form 2026

811 Video Contest Entry Form 2026

One entry per student/team of 2.
Please visit 811contest.org for a full list of rules and regulations.
Student Name

First NameLast Name
Teammate name, if applicable

First NameLast Name
Teacher Name
Teacher Email
School Name
If a homeschool or other organization (Scouts, FFA, YMCA, etc), put leader name.
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone

Area CodePhone Number
What motivated you to enter this contest?
What message do you hope to convey?
In your own words, what is the impact of your project on the lives of others?
Video Link
Post to public platforms (YouTube, Vimeo, Instagram, TikTok) to avoid our inability to open from various formats. Please give us permission to view/download.
I affirm that this entry is my own (or my team's) origianl work and grant the sponsors permission to use my/our work in ways they deem appropriate (i.e. recognition, publications, promotions and websites). I understand all entries become the property of PHMSA and NEF and will not be returned.
Student Signature. Use trackpad or touchscreen to sign.

Clear
By my signature, I allow the above named minor to participate in the 811 Video Contest.
Parent/Guardian Signature. Use trackpad or touchscreen to sign.

Clear
Should be Empty: