Dugan & Associates 2019 Scholarship Video Contest
Submit a brief video that highlights a part of the Greater Pittsburgh community that you believe is special, important, and/or overlooked. Videos may be simple selfie stories or more elaborate productions—All styles are welcome.
Your first and last name: *
Your answer
Your high school: *
Your answer
Your phone number: *
Your answer
Your address: *
Your answer
Your email: *
Your answer
YouTube link for your video: *
Your answer
Do you give us permission to share your video with the Dugan & Associates audience via our social media, our website, our email list, and any other media channel?
I agree and consent that Dugan & Associates and his/her company nominees and assigns may use any motion picture, video, still photo, or voice recordings taken of me in relation to the Dugan Scholarship Contest or any reproduction thereof, in any form, style, or color, together with any writing and/or other advertising and/or publicity material in connection therewith, including the use of my name as they may select.I understand that my talents and/or services and any related advertising and publicity materials are to be used in connection with the Dugan Scholarship Contest.This consent is given by me without limitations upon any use for projection, playback, reprints, rerun, broadcast, telecast, or publication of every kind, including the advertising and publicity connected therewith. I also agree that the originals and copies there from shall be and remain the exclusive property of Dugan & Associates or its nominees and assigns.I am over (18) years of age. (NOTE: If subject is under 18, a parent or guardian must complete this form on behalf of the minor)
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