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To enter the Food Heroes Video Contest, a student must submit an entry using this online form. This submission form is for students participating in the individual category. If the student filling out this form is under the age of 18, it is mandatory that the student’s parent/legal guardian also provide their consent using this online form.

Before submitting your entry, please read all contest rules & guidelines at www.dontletgoodfoodgobad.org/contest

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* 1. Student Information

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* 2. Contact Information (for award notification)

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* 3. Please paste the link to your video here:

Student Signature:
By entering your name in the box below, You, the student, represent

I have read the contest rules and agree to the terms of the contest,

(if under the age of 18) that I have my parent or legal guardian’s permission to submit the information for the contest.

that I have created the content and have all necessary permissions necessary for material used in the content,

I agree that my likeness may be used by DEQ for the purposes of this contest,

I have obtained the permission of others in my video whose likeness appears.

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* 4. Student Signature [please type your name to indicate you agree to the above statement]:

Parent/Guardian signature (required if the student is under the age of 18):
By entering your name in the box below, You, the parent/guardian of the student identified above, represent

I have read the contest rules and agree to the terms of the contest,

I am agreeing to my child entering the contest.

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* 5. Parent/Guardian Signature [Please type your name to indicate you agree to the above statement]:

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* 6. Please enter the date:

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