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2. Photographers Name:*
3. Phone #:*
4. Email Address:*
6. Rural Address (Blue Sign) or Legal Land Description:*
10. Photo Information:

    Limit of 5 entries per person.

12. Photo Name:*
13. When was the photo taken?*
15. Where was the photo taken?*
16. Upload Photo*
20. Photo Name:
21. When was the photo taken?
23. Where was the photo taken?
24. Upload Photo
28. Photo Name:
29. When was the photo taken?
31. Where was the photo taken?
32. Upload Photo
36. Photo Name:
37. When was the photo taken?
39. Where was the photo taken?
40. Upload Photo
44. Photo Name:
45. When was the photo taken?
47. Where was the photo taken?
48. Upload Photo
52. You must agree to the following terms and conditions for your entry to be valid.
54. Terms and Conditions #1*

    1. I agree with the following:

    I allow the County of Wetaskiwin to reserve the rights to reprint this photo in various media formats, including but not limited to website, print, broadcast and Internet, for an unlimited amount of time and at no cost to the County of Wetaskiwin.

56. Terms and Conditions #2*

    1. I agree with the following:

    I have obtained permission from all persons/property in the photo to release this photo for publication. The County of Wetaskiwin is not responsible or liable for legal implications resulting from the publication of this photo.

58. Terms and Conditions #3*

    1. I agree with the following:

    I warrant this entry is my original work and it does not defame or invade the rights or privacy of any person and does not contain any material that would violate or infringe upon the copyrights, patents, trademarks, or intellectual property rights (logos/trademarks) of any person.

60. Terms and Conditions #4*

    1. I agree with the following:

    I am an amateur photographer. (No formal training or pay for my photography). 

62. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your submission will not be signed in the sense of a traditional paper document, and 2) by signing in this alternate manner, your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I agree.
64. Electronic Signature*

    By submitting this entry I agree to accept all of the terms, rules and conditions of the County of Wetaskiwin Amateur Photo Contest.

66. Freedom of Information and Protection of Privacy Act

    The personal information on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act. If you have any questions about the collection contact the County of Wetaskiwin Office at (780) 352-3321.

Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field