Welcome to Courageous Persuaders

Sponsors

The Competition/Entry Form

Use the form below to enter online. If you would rather enter by mail, use this form.

Please fill in all fields marked with a *
Team Captain Information
First Name	*
Last Name	*
Street	*
City	*
State	*
ZIP	*
E-mail	*
Phone	*
High School Information
High School Name	*
Address	*
City	*
State	*
ZIP	*
Teacher Information
Name
Phone
E-mail
Team Member Information - Should your video be selected as a winning entry all scholarship money will be evenly divided amongst all team members.
Team Member 1
Name
E-mail
Team Member 2
Name
E-mail
Team Member 3
Name
E-mail
Team Member 4
Name
E-mail
Commercial Information
Title of Commercial	*
Royalty-Free Music Track Number	*
How did you hear about the Courageous Persuaders Program? Click all that apply.
Teacher
Poster
Television
Newspaper
Radio
Internet
NAIAS
Other
YouTube/SchoolTube link to commercial. You must upload your commercial before submitting your entry form to Courageous Persuaders. Once you upload your commercial on YouTube/SchoolTube, click on the YouTube/SchoolTube �Video URL.� Copy the URL and paste it below.
YouTube/SchoolTube Link to Commercial	*

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