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Picture Preston County Photo Contest
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Picture Preston County Photo Contest Photo Submission
Photo Contest
First Name*
Last Name*
Email*
Phone Number*
Address
Address 2
City
State
Zip
Photo Upload*
(Do not upload files containing sensitive personal information.)
Photo Title*
Category Selection*
Employers & Work
Infrastructure & Progress
Healthcare & Education
Community Life
Photo Location*
Brief Description (100–250 words recommended)*
Permissions
Does this photo contain identifiable individuals?*
Yes
No
If Yes:
I certify that I have obtained permission from all identifiable individuals appearing in this photograph.*
If minors are depicted, I certify that parental or legal guardian consent has been obtained.*
Certification*
I certify that this photograph is my original work and that I am the owner of the image.
I have read and agree to the PCEDA Photo Contest Terms and Conditions.
Electronic Signature
Type Full Name*
Date*
ReCaptcha Response
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