Community Awards Organization Registration

*Asterisks mark required information
Contact Person
*First Name
*Last Name
*Confirm Email
Address 2
State ZIP
Chief Judge Cell Phone
(If sending judges)
Work Phone (xxx-xxx-xxxx)
Fax (xxx-xxx-xxxx)
*Please list the awards you are providing (Example: 1st Place for excellence in Medical Science: Certificate and Book, 1st Place $100 cash award, etc.)
Level we will judge  
*We will send a panel of judges to select projects for awards
*Number of Judges
Judges Names:
First Name Last Name
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