| FOLSOM FOCUS ENTRY FORM |
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Folsom Focus
2010 Entry Form |
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| Theme | Your Age | |||||||
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Black and White Folsom Bridges Folsom Faces Fun in Folsom Folsom Old and New Folsom Outdoors |
Under 12 years of age 12 - 17 years of age 18 and older |
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| Photo Title |
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Location, date, time
photo was taken |
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| Personal information | ||||||||
| Name |
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| Address |
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| City, state zip |
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| Phone (day) |
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| Phone (evening) |
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| E-mail address |
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Photographer signature & date |
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Parent
signature & date if photographer is under 18 |
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By signing this form
you acknowledge that you have reviewed the contest guidelines and agree to
enter the contest as described. You agree to enter at my own risk, and do
not hold Folsom Patrons of the Arts responsible in the event of damage or
loss of photo. You authorize Folsom Patrons of the Arts to use your name
and/or photograph for publicity, promotion and advertising purposes. |
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| Submission: | This entry form must be filled out completely and submitted with the entry fee and photograph. Each entries should be placed in an envelope and may be submitted in person or by mail. | |||||||
| In Person: | By Mail: | |||||||
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Deliver to: |
Mail to: Postage due mail can not be accepted. |
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