EmailMe Form - PCI Student Photo+ Contest

Student Name *

First Last

Parent/Guardian Name *

First Last

Grade Level/Category *

Select your PCI school from the dropdown list: *

Best Contact Phone *

### - ### - ####

If selected for a prize, which gift card would you prefer? *

Best Contact Email *

Upload Your Photo Submissions Here!

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Optional Comments:

Add any comments you would like to share about the submission. Why did you pick this item? How does it connect to the theme (if not evident).

Video Submission Instructions:

After completing this form, video submissions may be texted to (209) 452-2940 or emailed to Outreach@pacificcharters.org

Please make note of the text/email as it will disappear once you submit the form.

Please note: Video submissions will not be considered without this official entry form.

Parent/Guardian Signature *

Clear

Submission of photos should be made by parent or guardian as submission indicates permission for PCI to use the image in social media and/or other marketing products.

Rules:

The contest is open to all students enrolled in a Pacific Charter Institute school.
• The PCI student must appear photo or video submissions.
• Monthly themes will be announced on Pacific Charter Institute’s Facebook & Instagram social media as well as the previous month’s winners.
• Contest submissions will only be accepted through the official EmailMe form. (Special instructions are listed ONLY for VIDEO contests)
• Submission deadlines will always be the last day of the month at 5:00 P.M.
• Each month, 4 prizes will be awarded to K-7th grades and 4 prizes will be awarded to 8th-12th grades.
• Winners will receive a $25 gift card to a business selected in the submission form.
• Photos will be judged by committee.
• Submissions should be made by parent or guardian as submission indicates permission for PCI to use the image in social media and/or other marketing products.