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American Cancer Society Youth Media Contest Registration
Event Timing: Sat, July 27, 2019; 1:30 pm to 5 pm
Event Address: 747 Camden Ave, Suite B, Campbell, CA 95008
Contact information: Joanna Yun: text (408) 859- 4616 or email:
How many participants are in your group?(up to 4 in a group)
If you have a group, please list your members' first and last names.
Create a team name. If you do not want one, write none. (if none, we will use your names)
What category are you participating in?
What age group are you in (reminder: contestants in a group need to be in the same age group)
Elementary: ages 6- 10
Middle: ages 11- 14
High: ages 15-18
I understand that all contestants under the age of 18 must have at least one parent or guardian accompaniment.
How many people are attending? (including yourself and chaperone(s))
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