Form Center

2. Please complete the requested information below.
   Items marked with a * are required.
6. Your Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Email address*
21. Phone Number*
23. I declare that I am the author and sole owner of the photo submitted.*
    -- Select One --YesNo
25. I have read and understand the contest rules.*
    -- Select One --YesNo
26. Contest Rules
    Contest Rules
28. I have attached a model release for anyone appearing in my photo.*
    -- Select One --YesNo
29. Download Model Release
    Model Release Form
33. Information about your Photograph
35. Title (example: Alder Street Fill in Autumn)*
37. Location where the photo was taken (example: McCosh Park)*
38. When was the photo taken? (example: 02/25/2012)
40. Photo for entry (JPG only)*
41. Model release upload
43. Additional file submission
    For additional model release uploads, please submit via email to ahenning@cityofml.com.
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

* indicates a required field