LWVWA High School Video Contest: Submission Form

LWVWA High School Video Contest: Follow-Up Submission Form

All fields must be complete for submission to be valid.
Lead Student Producer*

First NameLast Name
Email of Lead Student Producer*
example@example.com
Did you add any other students to your team since you submitted your initial registration form?

NoYes, I have added 1Yes, I have added 2
Name of Team Member #2

First NameLast Name
Phone Number of Team Member #2
Please enter a valid phone number.
Email of Team Member #2
example@example.com
Name of Team Member #3

First NameLast Name
Phone Number of Team Member #3
Please enter a valid phone number.
Email of Team Member #3
example@example.com

About Video
Video Title*
IMPORTANT: In the space PLEASE describe what LWVWA theme you focused on in your video and why you chose this theme. THIS IS IMPORTANT**

Project Supervisor/Teacher

Your advisor should be either a teacher or a leader with a youth organization. Homeschooled students can choose a parent, youth organization leader, or amateur audio/video enthusiast as an advisor.
Project Supervisor/Teacher Name*

First NameLast Name
Project Supervisor/Teacher Email*
example@example.com
Name of School or Youth Organization*

Talent

We require proof of consent from all identifiable people in your video—voice and/or image, we need their permission!
You can provide proof of consent from your actors in one of two ways:
- You can download this form, print it out, have it signed, and then upload a copy below of the signed form for each actor.
—OR—
- You can email them a link to the online Talent Consent Form. We will not send these out for you.
IMPORTANT: If your actors are under 18, a parent or guardian must give consent for the use of their voice and/or image.
Does your video feature any identifiable people (including their voice and/or image) who are NOT part of the team of students summitting this video?*

yesno
Please list the names of each identifiable person so we can ensure that we have received proof of consent from them. Please put each person's name in a separate row:
Upload any signed consent forms from your actor(s) or—if under 18 as of May 1, 2025—their parent or guardian, below.

Cancelof

Copyrighted Materials

Make sure you have permission for any sounds and/or other copyrighted materials used in the video.
Did you use any music or sound effects in your video?*

YesNo
Where did you get the music and sound effects you used from? Select all that apply.

I/We created them.They are in the public domain.I/We paid for the right to use them.
From where did you get the music and/or sound effects from? If you downloaded from the internet, please include a link to the source of the audio, showing that it is in the public domain or covered by a Creative Commons license (including the license type). If the audio was recorded or created by someone you know who gave you permission, provide a short, written explanation below, including their name and what permission they gave you.
Below, upload either a screenshot or receipt showing that you purchased rights to the audio.

Cancelof

Signature
By signing below I confirm that I have read and understand the Rules and Guidelines and agree to abide by those rules. I have full authority to enter this video into this contest and that the video is original and owned by me. If needed, I have obtained the necessary release and permissions to enter this project. I understand that in the event my submission is selected as a winning entry, and the rights and/or originality of my entry cannot be verified to the satisfaction of the judges, an alternate winner may be selected in my place.
Signature*

Clear

LWVWA High School Video Contest: Follow-Up Submission Form