Planet911 Youth Film Challenge Submission Form
A Global Initiative of Creative Visions & EarthX

Answer all questions that apply. Required for all Entries: Name, Email, Film Title, Downloadable Link, Age, signature agreeing to Rules and Guidelines and Parent or Guardian Signature if under the age of 18. If a required field does not apply to you type N/A.
Email address *
Film Title - (1-3 words): *
Description of Film (2-3 sentences): *
Downloadable Film Link (must be able to download your film as a .mov or .mp4 file): *
How did you hear about Planet911 Youth Film Challenge - please be specific. (Name the organization, school, Social media channel and business, etc. As an example, If teacher - name the teacher; if social media, name the specific account - Planet911 IG, etc. *
Vital Contact Information
We need this information to reach out to you if there is an issue with your film and/or to communicate if you are a finalist. We also use school and Teacher contact information to understand where our filmmakers come from and to let educators know about future film challenges and educational opportunities.
Full Name: *
Email: *
Your Contact Number: (Optional but helps us reach you in the event that you are a prize winner and your email bounces)
Your City: *
Your State: *
Your Zip Code or Postal Code: *
Your Country: *
Age - choose only one: *
Grade (if you are a student): Please include year/level if you are a college student. *
Will you be competing for Most Motivated School, Most Motivated Organization or any of the three Impact Grants for your organization?
By identifying this information, if your film meets the other criteria set forth in the rules and guidelines, it will be eligible to be considered for these additional prize categories.
School Name (if applicable; required if competing for Most Motivated School Award):
School Website and Social handles
Teacher Name (if applicable)
Teacher Email (if applicable)
Organization Name (if applicable; required if competing for Most Motivated Organization):
Please identify at least one or all of the following if competing for Most Motivated Youth Organization: Website/Facebook/IG/Twitter Accounts
Organization Name (Organization featured in your film, if applicable; required if competing for Impact Grant):
Website or Social media links for any organization Identified in your Film competing for Impact Grant (if applicable)
If Under 18, Your Parent or Guardians Name *
If Under 18, Your Parent or Guardians Email *
Confirm You Have Read and Agree to Planet911 Youth Film Challenge Rules and Guidelines: *
Required
If Under 18, Your Parent or Guardians Signature below. I give express permission for my child or teen under the age of 18 to Participate in the Planet911 Youth Challenge and assert that I have read and he/she will adhere to the rules and guidelines. (Read Rules and Guidelines Here: https://earthx.org/wp-content/uploads/2020/08/Final-Rules-and-Guidelines-P911-YFC-Fall-2020-2.pdf) *
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