2017 Water Conservation Video Contest Online Entry Form

I have supplied accurate information on this OFFICIAL ENTRY FORM. Contact information will remain confidential and not be used outside the video contest.
The video I have submitted does not violate copyright laws and is the result of my own or group’s ingenuity and efforts.
I understand if copyrighted materials are used without permission it will not qualify for broadcast on TV.
I understand that the video I have submitted will remain the property of the member agencies of the Water Conservation Coalition and may be reproduced only for educational purposes.
I understand the Water Conservation Coalition of Santa Cruz County will use my name, photograph, and school for advertising and/or publicity and general communication purposes. I will submit a PHOTO RELEASE FORM signed by my parent/guardian no later than midnight on March 27, 2017.
I have read and understand the OFFICIAL RULES AND GUIDELINES of the contest.

Student Name*
First Last
Student Email
Student Phone
Student Address
Street Address City State ZIP Code

Optional
Name of School
Teacher Name
First Last
Teacher Email
Name of your video
YouTube Video Link

If you have already uploaded your video to YouTube and shared it with savewater@soquelcreekwater.org please provide the link here
Name of other students in your group
Name
This field is for validation purposes and should be left unchanged.