2024 Climate Video Challenge Entry Form for 1 Film Maker or Designated Film Maker

2024 Climate Video Challenge Entry Form (for 1 Film Maker or Designated Film Maker)
This contest is open to California residents in grades 6-12.
For contest information, click here.
For questions, contact coast4u@coastal.ca.gov.

Thank you for submitting a video to the Climate Video Challenge! If you are the only film maker or the designated film maker for your group, please complete this form to enter your video. The designated film maker will serve as the main contact to answer any questions and receive the contest prize on behalf of the group members if your video is chosen. Pick a film maker who's good at responding promptly to email and be sure to use an email you will check during the summer! We recommend that you not use a school email address.

In completing this form, you are consenting to the contest's Consent, Waiver of Liability, and Release. If the film maker is under 18, complete this form with your parent or guardian, who must consent on your behalf.
Title of Video:

Link to Video on YouTube or Vimeo:

ONLY if you show someone’s face in your video, you must upload a “Right to Use Video Likeness” form signed by that person or their parent or guardian if under 18. The form is linked on the contest webpage. You can scan the form or take a photo of it. Just make sure that the image is clear enough to read.

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If you need to upload another “Right to Use Video Likeness” form, attach a second file here.

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If you need to upload another “Right to Use Video Likeness” form, attach a third file here. If you need to upload more than three forms, email Lauren.Dung@coastal.ca.gov along with your name and the name of your video.

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FULL NAME of Film Maker #1:

EMAIL for Film Maker #1 (Your email or your parent/guardian’s email. Use an address you check regularly and will have access to during the summer.):

MAILING ADDRESS for Film Maker #1:

PHONE NUMBER of Film Maker #1:

GRADE of Film Maker #1:

SCHOOL of Film Maker #1 (Include the name of the school you attend, or write "homeschool" if that's the case)

If your film was created as part of a class, please provide the NAME OF YOUR TEACHER:

If your film was created as part of a class, please provide your TEACHER’S EMAIL:

If the film maker is under 18, the film maker must complete this form with their parent or guardian, who must consent to the contest's "Consent, Waiver of Liability, and Release" on their behalf.

The film maker is 18 years or older. The film maker is under 18 years old.

I HAVE READ AND I CONSENT TO THE CONTENTS OF THE CONSENT, WAIVER OF LIABILITY, AND RELEASE ON BEHALF OF MYSELF AND MY HEIRS OR ON BEHALF OF MY CHILD OR DEPENDENT WHO IS UNDER THE AGE OF 18.
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Participation in this promotion is subject to the official rules.