Back Home Back to Contest K-12 Entry
Entry Form
To
enter the contest:
Print this form.
Fill out the form.
Attach the form to your picture.
Send your entry to the address at the bottom of this form.
Please make sure you have read the
"Contest Rules" before entering.
Please make sure you write legibly. Thank you.
How old are you? ___________
What is your first and last name?
_______________________________________________________
What is your parent's first and last name?
_______________________________________________
Where Do You Live?
Address
_____________________________________________________________________________________
City ___________________________________ State/Country ___________________ Zip
Code ___________
What is your e-mail address?
_____________________________________________________________
What is your telephone number?
_________________________________________________________
What grade are you in? ____________
What is the name of your school?_____________________________________________________________
What is the title of your picture?
_____________________________________________________________
What is your picture about?
______________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
(If you need more room, please write on the back.)
All entries become the property of the Stepducks and may be used by the
Stepducks in any and all media now known or hereafter developed for
non-commercial and commercial purposes alike.
Parent/Guardian Signature
___________________________________________________________________
(Your parent or guardian must sign this sheet.)
Send Contest Entries To:
Address will be given March 26, 2003