Name

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Date of Birth

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Email

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Phone Number

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Contest Category

Select the category you're participating in.

• Video

• Photography

• Writing

Address

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Have You Participated in Our Contests Before?

Let us know if you have been part of any previous contests.

• Yes

• No

Preferred Contact Method

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• Phone

• Email

• Mail

How Did You Hear About Us?

Please let us know how you found out about our contest.

Create a Username

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Password

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Additional Information

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Accept Terms and Conditions

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• I Agree

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