Close Up “Issues I Care About” Video Contest ENTRY FORM

Please complete the form below with a parent or guardian to access the link to submit your video for the contest.

Name*
First Last
Date of Birth
Name of your video submission*
Grade*
School Name*
Address*
City State / Province / Region
Email*
Phone*
By signing below, I acknowledge that I have read, understand, and agree to the Close Up “Issues I Care About” video contest official rules, guidelines, and terms. Students under the age of 18 must have consent from a parent or legal guardian.
Parent Name*
First Last
Parent Email*
Parent Phone*
Parent Initials*
Student Initials*
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Issues I Care About Video Entry Form