Photo Contest Entry Form

Photographer’s: Name ____________________________________________________________________________ Address __________________________________________________________________________ Phone # ______________________________________ Email Youth Entries: School ________________________________________________________ Age ______________
Category Names: People, Places, and Nature (Printed Entry Forms are for People, Places, and Nature Categories ONLY. Online Entry Required for United Way Category at . For desciptions of Categories please see the Contest Categories section of the instructions.


Category Name

Print Title

Caption (Optional)

Print # (Office Use)

All entries must be submitted by the original photographer. You must be the sole owner of the copyright of any image submitted. Your submission of the photo and entry form is your guarantee that you are the author and copyright holder of the photo. Denton Record Chronicle, First State Bank, and United Way of Denton County are not liable for any loss or damage to images entered in the contest. Images will only be accepted into the contest if total fees owed are collected. There are no refunds. Images submitted that Denton Record Chronicle or First State Bank, deem inappropriate in any way will be disqualified. The decision of the judges is final. All unclaimed photographs become the property of Denton Record Chronicle and First State Bank after December 8, 2012. As the photographer, I hereby acknowledge I had permission to photograph and reproduce all photographic content. I release the rights for Denton Record Chronicle, First State Bank and/or United Way of Denton County to copy or reproduce said images at their discretion.

Signature of Photographer or Parent if Photographer is under 18


By signing this form you certify that you have read and understand the Photography Contest Information and agree to the terms outlined above.

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