Summer Camp Detailed Registration Form

Photography Competition Application

Please complete the questions in full to be eligible for the prize
Applicant Information
Applicant Identity

First NameLast Name
Birth Date

MonthDayYear
Current Age
Gender

MaleFemaleOther
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Disclaimer:

Add text
I grant Cosmopolitan Mall permission to use my photos (with credit) for marketing and promotional purposes.

YesNo
Did you edit or enhance your photos?

YesNo
Device used for photography:

Smart PhoneDSLROther
Social Media Handles
Please paste the link to your media in the box below.
Please confirm that the photos submitted are your own original work.

YesNo
Should be Empty:

Photography Competition Application