2027 Pleasant Prairie Photo Contest

2027 Pleasant Prairie Photo Contest
Showcase your photography and the beauty of Pleasant Prairie by submitting your photo to the Village Photo Contest. Please complete the form below, upload your photo, and review the contest rules and permissions before submitting. A separate submission must be completed for each photo entry. Review the Photo Contest Rules & Information. For more information or assistance with your submission, contact communications@pleasantprairiewi.gov.
Entrant Information
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you 18 years of age or older?
Parent or Guardian Information
Parent/Guardian Name

First NameMiddle NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Consent
Photo Submission
Upload Your Photo

Cancelof
Photo Title
Where was the photo taken?
When was the photo taken?
Tell us about your photo
Name to Use for Photo Credit
Releases, Indemnity & Final Agreement

Please carefully review the following terms. You will be asked to acknowledge these terms and provide an electronic signature below.
Publicity Release/Permission to Reprint - By signing below I, the Entrant of this contest and photographer of the submitted photos, allow the Village of Pleasant Prairie to reprint the photo(s), which I have entered into this contest, in various media formats for an unlimited amount of time and at no cost to the Village of Pleasant Prairie. (If under 18 years of age, a parent or legal guardian must sign.)
Indemnity - By signing below I, the Entrant of this contest and photographer of the submitted photos, indemnify the Village of Pleasant Prairie, and hold this party harmless from and against any and all claims, actions, proceedings, judgment, damages, injuries, orders, losses, liabilities, costs and expenses (including reasonable attorney’s fees), arising from or related to the Entrant’s infringement of the intellectual property rights, or other rights of third parties by the Entrant. (If under 18 years of age, a parent or guardian must sign.)
Signature and Agreement
Electronic Signature

First NameMiddle NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Rules and Permissions
Should be Empty:

2027 Pleasant Prairie Photo Contest

Entrant Information

Parent or Guardian Information

Photo Submission

Releases, Indemnity & Final Agreement

Signature and Agreement