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A Beary Special
2005 National Photo Contest

DEADLINE - October 27th

Contestant Information

Name

Birthday      Age Group

Address

City      State     Zip

Phone

ENTRY FEES

 
One Photo $65
     
Unlimited Photos $100
       Number of photos entering  
     
TOTAL $Due

I understand that the judges decisions are final. I understand that any act of bad sportsmanship will result in disqualification without refund. I agree and allow any pictures of my child to be used for promotional use.

Signature   Date



    
    

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