Video Contest - Intent to Compete Form

In order to compete in the Wilkes Video Contest, please complete this form showing your intent to compete in the competition.

* Indicates that a field is required.

Incorrect password.

First Name*
Last Name*
Email Address*
Phone Number* - (###) - ### ####
Topic*
Are you over 18? (All under the age of 18 will require parental permission)*
Please list any additional team members here:
I have read all of the rules and regulations of the video contest. A link to the rules can be found at the bottom of this page.* I agree with the statement above
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Click here to review rules and regulations of contest.

Video Contest Intent to Compete Form