CLERC ABROAD

Welcome to CLERC ABROAD Contest Sign Up Form

First Name *

Last Name *

School/Occupation *

Your Email *

Address *

Address2

City *

State *

For Non US Residence Please Input Province

Country *

Year Attended *

CLERC Program *

Total Upload Files Are limited to 10MB *

Upload2

Upload3

Description *

Release *

I understand that by submitting a story, photos or videos, I hereby grant CLERC permission to use them for promotional and/or commercial purposes without limitation and without liability thus, I waive my right to any royalties.

Security Code: *

Click the image to reload. CLERC ABROAD at http://clercabroad.org

Reload Image