Fire-Ed Up Challenge - Entry Form

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* 1. Title of Entry

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* 2. School or Organisation of Entry

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* 3. State

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* 4. Names of Team Members

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* 5. Age Category

Stage 3 (Years 5-6)

Stage 4 (Years 7 - 8)

Stage 5 (Years 9 - 10)

Other (please specify)

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* 6. Main Contact Name (Teacher/Parent)

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* 7. Main Contacts Email

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* 8. Main Contacts Phone Number

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* 9. Pitch Video Entry Option (Provide link to YouTube, Vimeo, Google drive, drop box, etc)

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* 10. Poster Upload Option (PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported.)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 11. Terms and conditions agreement:

I agree to the terms and conditions here

I do not agree