2019 Photo Contest Submission Form

2. First Name*

3. Last Name*

5. Address1*

7. Address2

9. City*

10. State*

11. Zip*

13. Email Address*

15. Instagram Handle

    If you'd like to be tagged on Instagram if your photo submission is shared, please enter your Instagram handle here.

17. Twitter Handle

    If you'd like to be tagged on Twitter if your photo submission is shared, please enter your Twitter handle here.

19. Photograph Title*

21. Photograph Caption*

    (Brief story behind the photo)

23. Photo Release Statement
    By checking the box below and submitting your photograph, you grant permission for the Town of Waxhaw to use the picture on the Town of Waxhaw website, social media, or other publications, marketing materials, or visual displays.

    By checking the box below and submitting your photograph, you grant permission for the Town of Waxhaw to use the picture on the Town of Waxhaw website, social media, or other publications, marketing materials, or visual displays.

25. Photo Release Statement Agreement*

    1. I agree to the photo release statement.

27. Upload your photo here.*

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field