Prevention Force Family Center
2008 TEEN PHOTO CONTEST ENTRY FORM
Please Print clearly

Name: ______________________________________ Age: _____

Mailing Address: ________________________________________

City:_____________________ State:_______ Zip: _____________

Telephone: ( ) ______________ Cell Phone: ( ) ____________

E-mail: ________________________________________________

Please provide a location and title or brief description of two photographs or along with the CD include file name of each photo:

1. ____________________________________________________________

2. _____________________________________________________________

3. ______________________________________________________________

Photo or CDs’ submitted become the property of Prevention Force Family Center to use as seen fit and will not be returned. I understand that by entering the Teen Photo Contest ‘08, I give permission for my photo(s) to be used in PFFC and partner organizations’ publications, websites, Promotional and marketing materials. I have read the rules and guidelines on the photo contest website and on this form and agree to abide by the rules and guidelines. I hereby certify that I am the sole owner of the submitted photographs and that I have not given or sold exclusive rights to these photos to any other organization or person.

Signature: _________________________ Date: ______
Parent or Legal Guardian (if under 18)

Youth Signature: __________________________ Date: __________

Name: (please print) _______________________________________



Send your photo or CD along with this entry form to:
Teen Photo Contest
Prevention Force Family Center
3333 W. Arthington, Suite 150
Chicago, Illinois 60624

Questions? Contact pffc3333@sbcgobal.net
Deadline: August 1, 2008