Plan Bay Area 2050: Video Challenge Submission Form
Thank you for participating in the Plan Bay Area 2050 Video Challenge! By submitting your video, you will be entered into a drawing to win one of three $100 gift cards to an electronics store! Please remember that if you are under 18, you must provide your parent’s/legal guardian’s email address below. By submitting a video, you acknowledge that you have read the Plan Bay Area 2050 Video Challenge Official Rules, available online at

Note: You do not have to submit a video to be entered into the drawing. To enter the drawing, submit the form below. If you choose to submit and upload a video, visit the following link:

The name and photo associated with your Google account will be recorded when you submit this form.
First and Last Name *
Age *
School *
Bay Area County *
Parent/Legal Guardian Email Address *
If you are under 18 years of age, you need your parents’ permission to submit a video to the Plan Bay Area 2050 Video Challenge. Please enter your parents' email address so that we can send them a waiver they can sign digitally. If you are over 18, please enter your own email address.
Have questions or issues using this form? Contact Charlie Simpson at
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