People of Action Entry Form • Rotary District 3860

Rotary International District 3860
People of Action Photo Contest

Club *

Rotarian Name *

First

Last

Email *

Confirm Email

Photo Entry

Is this an End Polio Campaign? *

7 Area of Focus *

POA Action Verb *

Photo Taken By: *

First

Last

File Upload *

Drag & Drop Files, Choose Files to Upload

Description *

Put UP TO 5 of your social media pages links that contains the photo that you will submit.

Social Media Page Uploaded (1) *

Social Media Page Uploaded (2)

Social Media Page Uploaded (3)

Social Media Page Uploaded (4)

Social Media Page Uploaded (5)

I hereby declare that all the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this entry or immediate disqualification. *

I Agree

Data Privacy and Consent *

I Consent

By submitting this form, you consent to the collection, generation, use, processing, storage and retention of your personal data by the organizing committee for the purpose(s) and objective(s) of this event. *

Comment

Rotary International District 3860People of Action Photo Contest

Photo Entry

Put UP TO 5 of your social media pages links that contains the photo that you will submit.

Rotary International District 3860
People of Action Photo Contest