When the Smoke Clears Student Video Contest

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* 1. Student First and Last Name

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* 2. Student School

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* 3. Student Grade

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* 4. Student Age

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* 5. Parent or Guardian Full Name

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* 6. Parent or Guardian Phone Number

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* 7. Parent or Guardian Email Address

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* 8. Media Release

By checking this box and submitting this entry form, the individuals listed above hereby allow the contest sponsors the right to exhibit the submitted video for the purpose of education, marketing, promotions, fundraising, etc. with the understanding that, aside from the prizes listed in contest details, no further compensation will be awarded for use of materials submitted. You also grant contest sponsors permission to revise the submitted artwork as deemed appropriate for optimal display on different media platforms.

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* 9. Video Submission

By checking this box I have confirmed the video was submitted to the Dropbox link. The file name should include student first name, last name and age. Example: johnsmith15