Contest Entrant Information
First Name: Required. Last Name: Required.
Email: Required.Invalid format. Phone
(w/ area code):		 Required.
Category I'm entering:   Required.
Street Address:
Required.		 City: Required.
Province/State: Required.
Postal/Zip Code: Required.

Video Information
Title of Video:
Required.		 YouTube URL:
 Required.
Required.
(e.g. http://www.youtube.com/watch?v=DaccEQ8bbzg)
List Participants on Screen (Full Names):
Required.

Your personal information is collected and protected under the authority of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act, for the purpose of administration of the “Zoom to Win” contest.

Questions can be directed to:
Advancement Office 3000 College Dr. S Lethbridge Alberta T1K 1L6 Tel 403.320.3329 Fax 403.317.3500
List Participants in Production (Full Names):
Required.
By submitting this form:

 You must agree to the contest rules. I declare that I organized and/or performed in the above noted video and I grant permission for my likeness, image, voice and words to appear in the video submitted to the lethbridge college ‘zoom in to win’ contest. I understand that lethbridge college may broadcast the video, including via the internet, to the public, in part or in whole, at any future time. I have read and agree to abide by contest rules.