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2. Full Name*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. School or workplace for those who don't live in St. Anthony
13. Photo #1*
14. Photo #1 Location*
15. Photo #1 Title*
17. Photo #2
18. Photo #2 Location
19. Photo #2 Title
21. Photo #3
22. Photo #3 Location
23. Photo #3 Title
25. Are you under the age of 18?*
    -- Select One --YesNo
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you certify that you have read and understand the rules of the contest and grant the City of St. Anthony permission to use your photo(s) on the city's website, social media accounts, newsletter, and in other city materials or channels without compensation.

    1. I agree.
29. Electronic Signature*
31. Electronic signature of parent/guardian for entries by anyone under the age of 18
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field