Contestants Name:

Contestants Age:

Contestants Email Address:

Street Address:

City, State, Zip:

Please Check Appropriate LEVEL: (See Rules page for description)

                Level 1               Level 2             Level 3        

Entry Fees:
(Entry fees are based on level. You must pay the entry fees that correspond to the level you checked above.)

I will be sending payment via:

PayPal to designsbynm@aol.com
(Paypal - Cash or echeck ONLY)
Certified Funds

I have read and agree to the terms contained on the RULES page

By submitting this entry form, I understand that the Judges will remain anonymous and all decisions are final.  I understand that by entering this contest I am giving permission for my child's winning photo to be used for promotional advertising related to this contest only, on or off the Internet. I also affirm that the "Level" I have checked for my child's entry is true and correct to the best of my knowledge. I also affirm that I have read all the rules and regulations applicable to "The Supreme" photo contest as displayed on the "rules" page of their web site and will abide by all rules contained on that page.