Scoop From You(th) Challenge: Opioid Crisis Submission Form

Scoop From You(th) Challenge: Opioid Crisis Submission Form

This online submission for is for the Scoop From You(th) Challenge: Opioid Crisis for San Diego County youth and young adults ages 12-25 only. Please complete this submission form by October 10, 2023 at 11:59 PM PST.

IMPORTANT: Please note that participants may submit a maximum of three entries (no more than one entry per category). The number of entries will not impact an individual's overall score. If participating in more than one category, please complete one submission form per entry.

Thank you for your participation!

Participant Information

Full Name*

(Last Name, First Name, Middle Initial)

Age*

Parent or Legal Guardian’s Full Name

(Last Name, First Name, Middle Initial) if the participant is under the age of 18

E-mail Address*

Home Zip Code*

How did you hear about the challenge?*

Select

If 'Other', please elaborate

Submission Information

If you are participating in more than one category, please complete one submission form per entry.

Title of submission*

Submission Category *

Select

Please attach a copy of your submission AND your signed Registration & Release Forms*

Drag and drop files here or

Link to your Video or Visual Art

If your submission is posted on social media, please ensure that it is on a public account.

If you are unable to complete, attach, or link your submissions, please e-mail LiveWellYouth@sdcounty.ca.gov for additional support no later than July 7, 2023.

Send me a copy of my responses

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