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Photo Contest Entry Form

2. Date:*
   Date:

4. Photographer's First Name*

5. Last Name*

7. Phone Number*

8. Email Address

10. How did you hear about the contest?*

    1. Facebook
    2. Twitter
    3. Nextdoor
    4. Weekly Email
    5. City Website
    6. Other
12. If "Other" please explain

14. Check the boxes below:*

    1. I verify that I am over 18 years of age
    2. I agree to the Photo Contest rules.

16. By submitting this photo, you agree that the City of Roeland Park, KS is authorized to display this photo at City Hall and will not offer any compensation to use the photo in the newsletter, website, social media post or other City publications. Proper photo credit wil be posted as submitted.

    By submitting this photo, you agree that the City of Roeland Park, KS is authorized to display this photo at City Hall and will not offer any compensation to use the photo in the newsletter, website, social media post or other City publications. Proper photo credit wil be posted as submitted.

18. UPLOAD YOUR PHOTOS:

20. photo 1*

21. photo 4

23. photo 2

24. photo 5

26. photo 3

27. photo 6

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field