Why Vote Submission Form

WHY VOTE Student Video Challenge
Submission Form

* Indicates required field

Name: *

First

Last

Age: *

Email: *

Phone Number *

School you attend(ed) or specify if homeschooled: *

Grade Level in the 2019-2020 School Year: *

For the remaining questions, please respond NOT APPLICABLE if you have no names to report.

Names and ages of contributing students (please respond Not Applicable if you worked alone): *

Names of non-student contributors to the production, if any (e.g. advising, editing, filming): *

Names of Parents or Guardians of contributors under age 18: *

Check box: *

I confirm that I have written permission to use any third party owned content included in this submission (e.g., music, graphics).

Check box: *

I confirm that the above-named Parents or Guardians have been informed of their students' participation in the LWVCC WHY VOTE Video Challenge.

Submit