The Maryland Wood Duck Initiative 2007-2008 Photo Contest Entry Form

Each photographer must complete all information on this form and list photographs being submitted below.

Photographer: ___________________________________________________________
Phone: __________________________
Address:_______________________________________________________________
City: ______________________________________
State: _______________  Zip Code: _____________
Email: _____________________________________

I, the undersigned, certify that I own, or hold the copyright to the photos submitted. I further understand that the photos I enter in this contest will not be returned and by submitting these entries I am giving the Maryland Wood Duck Initiative and the Maryland Department of Natural Resources the right to use these photographs in any of its publications, displays, catalogs or on their websites. However, as owner, I retain the right to use the photo (s).

Signature:  __________________________________________________ Date: __________

If photographer is under age 18, parental authorization is required.
Name of Parent: ______________________________________________________________
Signature of Parent:____________________________________________  Date: ___________

If any person appearing in the photo is under age 18, the entry must be accompanied by parental permission to utilize the picture. Photo Release for Children Under Age 18

Send all entries to:

Submit digital photos and entry form to:
lwiley@dnr.state.md.us

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