Fun4theBrain Zombie Prom Fashion Contest Entry Form

Contestant Information Name _________________________________ Age _____ Name of School or Household ________________________________ Teacher Name _____________________________ *If electronic entry, Email address of parent/teacher:__________________________________ *If postal entry, Mailing address of parent/teacher: (school address is fine) ________________________________ ________________________________ Electronic Entries - attach entry form and entry, and email to zombiecontest@fun4thebrain.com Mail Entries - send entry form and entry to :

Fun4theBrain Contest – Zombie Fashion P.O. Box 580 Maugansville, MD, 21767

-Be sure to attach your graphic file if sending via email. -Be sure to include a correct return address if sending via email, in case of a problem with the file. By submitting this Contest Entry Form, the contestant agrees:

-the image is free from copyright restrictions. -that he/she has parental consent to submit his/her work. -that submission of his/her work grants Fun4theBrain the right to use, adapt, and

display the work on the site and in its games. * These fields are optional.