1

Name

 *

Name

2

Was the Photo taken at River Park North or Wildwood Park?

Was the Photo taken at River Park North or Wildwood Park?

River Park North

Wildwood Park

3

Phone

 *

Phone ext.

4

Email

 *

Email

5

Mailing Address

 *

Mailing Address

6

Age Group (check one)

 *

Age Group (check one)

Adult

15 and Under

7

Category

 *

Category

Adult Professional

Adult Amateur

15 and Under

8

Photo Information

 *

Photo Information

Name

Description

Date

Photo taken at River Park North or Wildwood Park (please specify):

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* Disclaimer: Entrants agree to grant River Park North and assigns use-rights for all entries for editorial, promotional, advertising, or educational purposes.  Entrants recognize that they are responsible to read and follow the contest rules.  Call Brad Williams 252.329.4577 or 252.329.4560 for further details.

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