Entry Form
Carlow - A Pandemic in Pictures
Entrant Name
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First Name
Last Name
Entrant Email
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Address
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Street Address
Street Address Line 2
Town/Village
County
Eircode
Phone Number
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-
Area Code
Phone Number
Upload Photo
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Upload a File
jpg or jpeg only - max size 25mb
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Which Category are you entering?
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7-12
13-17
18+
Note: - All entrants under 16 must have parental consent (see below)
Date of Birth
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-
Day
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Month
Year
Required under data protection safeguards for children
Title of Photograph
*
About the photo/description
*
Max 50 words
0/50
For all entrants under 16
Parental/Guardian Consent is required
Name of Parent/Guardian
First Name
Last Name
Email of Parent/Guardian
example@example.com
Phone Number of Parent/Guardian
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Area Code
Phone Number
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