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Please correct the field(s) marked in red below:

1

Name

 *
2

Address

 *
3

City

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4

State

 *
5

Zip

 *
6

Email

 *
7

Phone

 *
8
I certify that I am 18 years of age or older, or that I am 18 years of age or older and the legal parent or legal guardian of the contestant if the contestant is under 18.
 *
I certify that I am 18 years of age or older, or that I am 18 years of age or older and the legal parent or legal guardian of the contestant if the contestant is under 18.
9

I have read and agree to the Rules and Regulations.

 *
I have read and agree to the Rules and Regulations.
10

Please describe your proposal

 *
11

Please include an image, sketch or design concept of your proposal

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