Coloring Competition
Please fill in the details below
Name
*
First Name
Last Name
Address (Sale and Area ONLY)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Which Age category are you entering?
*
Pre-School and Below
Primary School
Secondary School
Adult
File Upload
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I agree that I have the right to submit this picture; and that the all details are correct; That I allow the picture, category and first name to be displayed on Facebook; and that I would be willing to have my or my child's photo taken by the local paper, if I win.
*
YES I agree
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