Sunwise Video Contest 2012

1.Choose a category to enter(Required.)
2.First Name(Required.)
3.Last Name(Required.)
4.Phone Number (including area code)(Required.)
5.Email Address(Required.)
6.Title of video posted on YouTube(Required.)
7.Date video was posted to YouTube (MM/DD/YYYY)(Required.)
8.URL (or link) to your video on YouTube
By clicking the submit button below, I certify that I am the creator of the original video titled above;
have read and agreed to the contest rules; and that I grant the Arizona Department of Health
Services and its agents a royalty-free license to copy, distribute, modify, display,and perform
publicly and otherwise use, and authorize others to use my video for any educational purpose
throughout the world and in any media.
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