Updated April 2013 National Park Service Fire and Aviation Photo / Video Contest Form

This form may only be used by those who do not have a Facebook account. If you have a Facebook account, please enter the contest through http://ww w .facebook.com/Fire A viationNPS .

Attach your photos / videos to an email, along with this filled-in form to [email protected] in order to enter the contest.

Please note that if this form is missing information, it will be returned for completion, and your photo / video will not be entered until all information is received. If information is not received by the contest deadline of May 19, 2013, your photo / video will not be included in the contest voting. If you have questions, contact us at [email protected] .

* Photographer’s / Videographer’s Name: Your name

* E-Mail Address [Gvt. employees, please use your .gov email]: Your E-mail Address * Submission title: Title of your photo / video * Caption or description action taking place in photo / video: Please describe what is taking place and include the year the photo / video was taken.

Photo / Video location – Park: Please provide a national park, if not taken in a NPS unit, please write “Other” If photo was not taken in a national park, it must feature a National Park Service employee or equipment, please fill in the below field with the location the photo was taken:

Photo / Video location – Other: Location outside a national park where your photo / video was taken *Entry category [Choose only one category for entry; double-click box to left of category to enable checkbox.] Aviation Structural Fire Wildland Fire NPS Fire / Aviation staff on the job

* I agree to the following Terms and Conditions:

I have read the o f ficial rules and agree to abide by them for the purpose of this contest. All contest materials submitted to the National Park Service will not be returned to the entrant. Submission of an entry shall constitute the grant of a non-exclusive, royalty free license to the National Park Service, and its sublicensees, to reproduce, display, prepare derivative works, distribute to the public by sale or other transfer and to utilize the photograph submitted for any governmental purpose, including but not limited to publication on the World Wide Web, interpretive publications, and commercial uses. * I am the photographer / videographer of the accompanying photograph / video, or the photo / video is in the public domain.

*Indicates required field

E X P E R I E N C E Y O U R A M E R I C A National Park Service Fire and Aviation Management Photo and Video Contest Form