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Video Award Entry Form
Fill out the form to register and upload your video
12
Questions
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1
Student Name(s)
*
This field is required.
First Name and Last Name
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2
Student Contact E-mail
*
This field is required.
example@example.com
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3
I attend
*
This field is required.
Three middle school students and three high school students will receive scholarships.
Middle School (grades 6 through 8)
High School (grades 9 through 12)
Middle School (grades 6 through 8)
High School (grades 9 through 12)
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4
Teacher's Name
*
This field is required.
First Name
Last Name
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5
Teacher's E-mail
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6
School Name
*
This field is required.
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7
How many students worked on this video?
*
This field is required.
1 Student
2 Students
3 Students
4 Students
5 Students
6 Students
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8
Name of Your Video
*
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9
Description of Video
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quote
Created with Sketch.
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10
Image/Sounds Sources Cited
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quote
Created with Sketch.
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11
Additional Comments
Additional names of group members can be added here.
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quote
Created with Sketch.
Ok
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12
If you have any problems uploading your video here, please submit your form and then email the video or share through google drive with stephanie@friendsofthepetalumariver.org. We look forward to viewing your video!
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