Register – Create Real Impact

Category*

Username*

First Name*

Last Name*

E-mail Address*

Password*

Confirm Password*

Birthday

How did you hear about the Create Real Impact Contest?*

Other*

Phone*

Home Address*

City*

State*

Zipcode*

School*

Type of School*

School Level/Grade*

Graduation Year*

Campaign Hashtag

Entry Title*

Entry Description*

Video Category Entry*

Graphic Design Image*

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Yes, I have read and agree to the Contest Rules & FAQs.

While we love to see students work together to create winning entries, we will only issue one check to the one student whose name appears on the winning entry. By checking this box, you affirm that you understand the above.

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