Teacher's Registration Form

  First Name:
  Last Name:
  Email:
  Cell Phone:
  Work Phone:
  Fax:
     
  School Information  
  School Name:
  Address:
  City:
  State:
  Zip Code:
  Total Students:
  Total Instructors
(Including self)
     
  Contest Entries  
  Please select the number of entries for each contest.
 
  Mail-In Contests  
  News Story
  Feature Story Short Form
  Feature Story Long Form
  Humorous Segment
     
  72-Hour Challenge  
  Movie Maker Video Challenge
  Music Video Challenge
  Broadcast Journalism Challenge
     
  On-Site Contests
(Includes "Midnight Madness")
 
  Midnight Madness
  Editing
  Spot Feature
  Anchoring
  Commercial
  Newswriting
  Live Short