EmailMe Form - Anything BUT a Backpack Day

Name *

First Last

I am a ... *

Student

Employee

BHC Student ID#

Phone

### - ### - ####

Email

File Upload *

File must be one of these formats: .gif, .jpg, .png, or .jpeg.

Photo Release Form:
Black Hawk College, its agents or assignees all have my permission to use my name, photograph or likeness (still or motion) of me, my equipment or animals I own, my work site, location or facilities and any related narrative for advertising, publicity or news stories, or for any informative purposes and in any way it sees fit to promote the College. I agree that all such quotations, portraits, photographs, and video thereof connected therewith are and shall remain the property of Black Hawk College. All entries may be published on the BHC web site, its social media outlets, or its advertising. Nothing in these Contest rules obligate BHC to publish or otherwise use any photo submitted in connection with the Contest. *

I agree