Off Your Box 2006
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Entry Form
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Entry Form

Complete the form below, answering every question, print the form and have every team member sign it, and then post it to the address given below, along with your entry which must be in one of the specified formats.

All fields marked * are required

Project Information

Please enter information about the project or piece of work you will be submitting.

Enter the title of the project: *

Select the theme of the project: *

Please select a project category: *
Animation Film

Enter a description of the project (max. 500 characters): * You have 500 Characters left

Select an age group to be entered into: *

Select a prize should you be successful. For those entering in groups, please note that if choosing the website or X Box prizes, only one prize is offered per group. The summer school, training and iPod Shuffle prizes are offered as one each for all those in the group however. *

General Information

Where did you hear about Off Your Box? *

Main Contact Information

Please enter information for the person who will act as the main contact point. This can be yourself, another team member or a representative where applicable.

Full name: *

Status: *

If a student please specify the educational institution you attend:

Your address : * Town / City: * Postcode: * Phone number: * Mobile phone number: Email address: *

Team Member Information

Please enter contact information for each member of the team, (including yourself if applicable), or if you are entering as an individual provide your own information only. Note that each member of the team MUST sign this entry form, so even if you have entered your contact information above please do so here too.

Team Member 1

Team Member 2

Name: 

Date of birth: 

Address: 

 

 

Post Code: 

Name: 

Date of birth: 

Address: 

 

 

Post Code: 


Team Member 3


Team Member 4

Name: 

Date of birth: 

Address: 

 

 

Post Code: 

Name: 

Date of birth: 

Address: 

 

 

Post Code: 

Terms & Conditions

Tick the box to confirm you have read and understood the Off Your Box 2006 Rules and Terms & Conditions.

I have read, understood and agree to the Off Your Box 2006 Rules and the Terms & Conditions. *

Please make sure you have completed all required fields before you submit the form!

Please enclose the entry form with your submission and send to:

  • Rebecca Birch,
  • Off Your Box Co-ordinator,
  • Screen Media Lab,
  • Units 2 & 3, Progress Works,
  • Bromley Street, Digbeth,
  • Birmingham, B9 4AN.