Submit Your Information

"*" indicates required fields

Team Name*

Team Lead Name*

First Last

This will be your main contact for the rest of the group for communications about Move Mining

Team Lead Email*

Team Lead Phone Number*

Team Lead Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Lead Grade Level (if applicable)

Do you need to add Team Member #2?

Yes

No

Team Member #2

Team Member #2 Name*

First Last

Team Member #2 Email*

Team Member #2 Phone Number*

Team Member #2 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member #2 Grade Level

Do you need to add Team Member #3?

Yes

No

Team Member #3

Team Member #3 Name*

First Last

Team Member #3 Email*

Team Member #3 Phone Number*

Team Member #3 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member #3 Grade Level

Do you need to add Team Member #4?

Yes

No

Team Member #4

Team Member #4 Name*

First Last

Team Member #4 Email*

Team Member #4 Phone Number*

Team Member #4 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member #4 Grade Level

Do you need to add Team Member #5?

Yes

No

Team Member #5

Team Member #5 Name*

First Last

Team Member #5 Email*

Team Member #5 Phone Number*

Team Member #5 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member #5 Grade Level

Additional Information

Filename of Video

Please enter your information here in the following format: Team Name - Video Title.

One Parental Consent Form is required for each Move Mining participant under the age of 18.

Parental Consent Form Team Member #1

Max. file size: 512 MB.

Parental Consent Form Team Member #2

Max. file size: 512 MB.

Parental Consent Form Team Member #3

Max. file size: 512 MB.

Parental Consent Form Team Member #4

Max. file size: 512 MB.

Parental Consent Form Team Member #5

Max. file size: 512 MB.

I have read the FAQ's

Yes, I have read the FAQ's

Read FAQs

I have read the terms and conditions

Yes, I have read the Terms & Conditions

Read Terms and Conditions

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