Contest Submission Form

To participate in the contest, follow these steps:

Copy and Paste into an email, complete all fields and submit form
STEP 1
Upload you video to YouTube.com. Cut and paste the Web address and name of your video to enter in the form below.

STEP 2
Fill out the form below. Be sure to include the Web address and name of your video, and get your parent or guardian to review the contest entry permission information and submit their approval. Email completed form to contest@karobics.com
Fields marked with an asterisk (*) are required.

*Film title:___________________________________

*YouTube address of your film: ____________________________

*Your name: _________________________________________

*Date of birth: _____________________________________

*Address: ____________________________________

Telephone: _________________________________

PARENT/GUARDIAN AUTHORIZATION
I have reviewed and approve this video submission_______________
Parent/Guardian name: ______________________________
Parent/Guardian Address: ____________________________
Parent/Guardian Phone:______________________________