Spirited Zine Submissions
For young people 12 -25 years located in North West Tasmania
Full Name of zine contributor
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Date of birth (You need to be between 12 to 25 years old to participate)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you under 18 years of age?
*
Yes
No
Parent or Guardian's name
First Name
Last Name
Parent or Guardian's email
*
example@example.com
Upload your Zine contribution
*
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This could be writing, artwork etc
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