GEAR UP Go Day Tik Tok Challenge Entry Form

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your handle on TikTok? (example: @gearupkentucky)

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* 4. What is your birth date?

MM/DD/YYYY

Date

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* 5. What school do you attend?

Bracken County High School

Bourbon County High School

Fleming County High School

Frankfort High School

Holmes High School

Marion County High School

Mason County High School

Mercer County High School

Paris High School

Pendleton County High School

Robertson County High School

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* 6. If you win, would you prefer to be notified by text or email?

Text

Email

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* 7. What phone number or email should we use to contact you?

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* 8. If I win one of the TikTok challenge categories, I give permission for you to post my video, name and school on GEAR UP Kentucky social media platforms (TikTok, Facebook, Twitter, Instagram).

Yes

No