Photo of the Month Contest Nomination Form

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To enter the Photo of the Month contest, fill in the boxes below and click the submit button.

Thanks for participating!

Your First Name

Your Last Name

Address1

Address2

City

State

Zip

Phone Number

Email Address

Location of photograph

Upload your picture*

Approximate date of photograph*

Approximate date of photograph

Approximate date of photograph

Title/caption of photograph*

Today's Date*

Today's Date

Electronic Signature Agreement*

I certify that I am the one who took this photograph. I understand that upon submission, this photograph, and all of the copy and trademark rights associated with the photograph, becomes the property of the City of Margate. I hereby grant permission to the City of Margate to use this photograph at their discretion with no compensation or credit to me, or to any subjects in the photograph. If the photograph includes identifiable people in a non-public place, I have obtained the permission of those in the photograph to submit this photograph for use by the City of Margate.
I have read all of the attached rules and agree to them.

I agree.

Electronic Signature*

If under 18 years of age, signature of parent or guardian *

The City of Margate is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. Under Florida law, e-mail addresses are public records. The information you are providing is subject for release in response to a public records request. All e-mail messages sent and received are captured by our server and retained as public records.