Earth Day Competition 2015 âRecycled Runwayâ Entry Form Entry ...
Earth Day Competition 2015 “Recycled Runway” Entry Form Deadline to Apply: April 3, 2015
Category (circle one, one entry per person) Elementary (K-5) Individual Class/Club Upper Grades (6-12) Individual Class/Club Adult Individual Group/Club
Entrant Details
_______________________________________
Media Release
Required for all participants I, _____________________________________, do hereby grant permission to Anne Springs Close Greenway to use my/my child’s work, image, and other media productions for educational, advertising and promotional purposes in print and online. I give Anne Springs Close Greenway all rights to use of the work, related images, photos and other media productions. I understand that the work, related images, and media productions may be displayed, duplicated, distributed, and/or altered in any form or manner without future or further notification or compensation. I release Anne Springs Close Greenway from all liability with respect to the matters covered by this release.
_____________________________________________
_____________________________________________ First Name
Where did you hear about the contest?
Last Name
_____________________________________________ Date of Birth: MM/DD/YY
_____________________________________________
Print Participant Name
Date
_____________________________________________ Participant Signature
Date
_____________________________________________ Parent/Guardian Signature (if under 18 years of age)
Date
Mailing Address
_____________________________________________ Town/City
ZIP Code
_____________________________________________ Telephone (Important for pre-event judging communication)
_____________________________________________ Email (Important for pre-event judging communication)
Grade level and teacher if student:____________________
_____________________________________________
School Name
_____________________________________________ Non-academic Organization Name
Entry Description
List all the Recycled, Renewable, Reusable materials you intend to use in your costume.
_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________
Entrants must return completed entry form to Kelly Murphy via mail, office drop-off, or email. Please mark all correspondence “Attn: Kelly Murphy” Mail: Anne Springs Close Greenway Attn: Kelly Murphy PO Box 1209 Fort Mill, SC 29716
Drop-Off: ASCG Headquarters 250 Dairy Barn Lane Fort Mill, SC 29715
Email: [email protected] rd
Deadline for entry forms is April 3 , 2015 by 4pm. No walkups, late entries or entries without a completed entry form will be accepted. .
Questions?
Contact Kelly Murphy 803-547-1083 [email protected]
Category (circle one, one entry per person) Elementary (K-5) Individual Class/Club Upper Grades (6-12) Individual Class/Club Adult Individual Group/Club
Entrant Details
_______________________________________
Media Release
Required for all participants I, _____________________________________, do hereby grant permission to Anne Springs Close Greenway to use my/my child’s work, image, and other media productions for educational, advertising and promotional purposes in print and online. I give Anne Springs Close Greenway all rights to use of the work, related images, photos and other media productions. I understand that the work, related images, and media productions may be displayed, duplicated, distributed, and/or altered in any form or manner without future or further notification or compensation. I release Anne Springs Close Greenway from all liability with respect to the matters covered by this release.
_____________________________________________
_____________________________________________ First Name
Where did you hear about the contest?
Last Name
_____________________________________________ Date of Birth: MM/DD/YY
_____________________________________________
Print Participant Name
Date
_____________________________________________ Participant Signature
Date
_____________________________________________ Parent/Guardian Signature (if under 18 years of age)
Date
Mailing Address
_____________________________________________ Town/City
ZIP Code
_____________________________________________ Telephone (Important for pre-event judging communication)
_____________________________________________ Email (Important for pre-event judging communication)
Grade level and teacher if student:____________________
_____________________________________________
School Name
_____________________________________________ Non-academic Organization Name
Entry Description
List all the Recycled, Renewable, Reusable materials you intend to use in your costume.
_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________
Entrants must return completed entry form to Kelly Murphy via mail, office drop-off, or email. Please mark all correspondence “Attn: Kelly Murphy” Mail: Anne Springs Close Greenway Attn: Kelly Murphy PO Box 1209 Fort Mill, SC 29716
Drop-Off: ASCG Headquarters 250 Dairy Barn Lane Fort Mill, SC 29715
Email: [email protected] rd
Deadline for entry forms is April 3 , 2015 by 4pm. No walkups, late entries or entries without a completed entry form will be accepted. .
Questions?
Contact Kelly Murphy 803-547-1083 [email protected]
