Do you have a powerful message to share?
Your dreams, goals, and future are worth protecting. Alcohol and marijuana can impact decision-making, academic success, athletic performance, mental well-being, and future opportunities. The choices you make today can shape the path you follow tomorrow. Join us in promoting healthy lifestyles, positive choices, and stronger communities. Use your creativity, talent, and voice to create a short video that inspires others and make a meaningful difference. Complete the form below and share your vision. We are excited to see the unique video concepts you and your group create to encourage young people to live alcohol- and marijuana-free lives. Create. Inspire. Empower. Make Your Message Count.
Team Name
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Number of Team Members
*
Please Select
1
2
3
4
5
Team Category
*
Middle School Division
High School Division
College/Adult Division
Instructions
Please complete and fill in the contact information below for each member included on your team. Important information will be sent via email. For those participating in the middle school division, please enter a parent/legal guardian's contact information.
Team Member 1 (Team Leader)
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Team Member 2
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Team Member 3
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Team Member 4
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Team Member 5
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Video Release and Consent Statement
By submitting a video to the Asia Pacific Education Services Video Competition, you (and your parent or legal guardian, if you are under the age of 18) grant Asia Pacific Education Services the absolute and irrevocable right to use, edit, publish, and display your video submission. This includes the right to: Distribute the video publicly on websites, social media, and at live events. Use your name, likeness, and biographical information in promotional materials related to the competition. By participating, you confirm that: You have obtained all necessary permissions, including music licenses, location releases, and talent consent for everyone appearing in your video. The video is entirely your original work and does not infringe on any third-party copyrights. You waive any rights to royalties or compensation related to the public screening or distribution of your video. All video submissions will be the property of the CHCC: Community Guidance Center (CGC) and can be used as sustainable tools to approach youth populations in the future.
*
I accept the above video release and consent statement.
Please Note
This program is supported by federal funds under the Substance Abuse and Mental Health Services Administration (SAMHSA) from the US Department of Health and Human Services (DHHS) through a sub-grant award from the CHCC: Community Guidance Center.
Contact Information
We will be sharing further competition details via email once your registration is complete. Please feel free to contact (670) 285-7314 between the hours of 9:00AM - 5:00 PM Monday to Friday or email office.islandtraining@gmail.com if you have any questions.
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