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Make a submission by filling out the form below.
General Information
* First Name: 
* Last Name: 
* Public Name: 
  This name will represent you publicly.
* Email: 
* Confirm Email: 
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Address Line 2: 
* Postal Code: 
Submission Information
    By checking this box I agree to being the parent or legal guardian of child listed below (read full Publicity Release and Waiver).
* Submit Your Photo: 
  Please upload a JPEG file (.jpg or .jpeg)
* Child's First Name: 
* Child's Last Name: 
* Name of Team for child (if applicable): 
* Age of Child: 
* Sport or Activity: 
* Size of Tshirt desired if child wins: 
* City where child resides: 
    Opt IN : YES! I want to receive future communication and offers from WILX and their trusted partners
Confirm Age And Permission
* Description: 
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