JAG Awards Registration
First entry is free; each additional is $30.  Please fill out this form; include all of your entries on one form.  If you are entering more than 20 videos, please notify JAG with an email to gfairfield@piscatawaynj.org before proceeding.  Once JAG receives your registration, we will issue you an invoice.
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NAME *
COMPANY/ORGANIZATION *
STREET ADDRESS *
CITY, STATE *
ZIP CODE *
PHONE *
EMAIL *
ENTRY # 1 - NAME OF PROGRAM *
ENTRY # 1 - CATEGORY *
ENTRY # 2 - NAME OF PROGRAM
ENTRY # 2 - CATEGORY
ENTRY # 3 - NAME OF PROGRAM
ENTRY # 3 - CATEGORY
ENTRY # 4 - NAME OF PROGRAM
ENTRY # 4 - CATEGORY
ENTRY # 5 - NAME OF PROGRAM
ENTRY # 5 - CATEGORY
ENTRY # 6 - NAME OF PROGRAM
ENTRY # 6 - CATEGORY
ENTRY # 7 - NAME OF PROGRAM
ENTRY # 7 - CATEGORY
ENTRY # 8 - NAME OF PROGRAM
ENTRY # 8 - CATEGORY
ENTRY # 9 - NAME OF PROGRAM
ENTRY # 9 - CATEGORY
ENTRY # 10 - NAME OF PROGRAM
ENTRY # 10 - CATEGORY
ENTRY # 11 - NAME OF PROGRAM
ENTRY # 11 - CATEGORY
ENTRY # 12 - NAME OF PROGRAM
ENTRY # 12 - CATEGORY
ENTRY # 13 - NAME OF PROGRAM
ENTRY # 13 - CATEGORY
ENTRY # 14 - NAME OF PROGRAM
ENTRY # 14 - CATEGORY
ENTRY # 15 - NAME OF PROGRAM
ENTRY # 15 - CATEGORY
ENTRY # 16 - NAME OF PROGRAM
ENTRY # 16 - CATEGORY
ENTRY # 17 - NAME OF PROGRAM
ENTRY # 17 - CATEGORY
ENTRY # 18 - NAME OF PROGRAM
ENTRY # 18 - CATEGORY
ENTRY # 19 - NAME OF PROGRAM
ENTRY # 19 - CATEGORY
ENTRY # 20 - NAME OF PROGRAM
ENTRY # 20 - CATEGORY
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