To enter the YR.1 competition, you must print out this form, fill it in and send it to:

YR.1 Competition
PO BOX 197
Twickenham
TW2 5FH

Please make sure you have read the Yr.1
Terms and Conditions before you enter.

You may enter a maximum of three images across three different categories. You can not enter the same image into different categories.

Unfortunately no entries can be returned. Entries sent to any other address / email or those that do not comply with the Terms and Conditions will be disqualified.


CLOSING DATE: 5.00pm Friday, 30th March, 2001.
Please note that all images must be RECEIVED by this date. Please ensure that you have read and understood all Terms and Conditions before sending your entry.
Please complete in BLOCK CAPITALS.

Fields marked with an asterisk are mandatory.

*Title Mr / Ms / Mrs / Miss


*First Name


*Surname


*Address




*Town


County


*Postcode


Tel. (Inc Std Code)


Mobile

If you have given us your mobile number we may send you a text message

Email

Your email must be filled in if you wish your image to appear in the online gallery

*Date of Birth  DDMMYY

N.B. If you are under 16 years of age, you must have permission from a parent or guardian before entering the competition. Their name and a signature are required.

Parent/Guardian name


Signature:



Date:

If you have also entered submissions by the online entry route, please tick here.


(Reminder - total number of images entered by each individual must be
no more than three)

We can send you updates on the YR.1 competition. If you DO NOT wish to be contacted with these please tick here



If you do not wish to receive any further information from Channel 4 (excluding update information on the YR.1 competition) please tick here




For office use only

Batch:
URN:
User:
Date Received:
Internal comments:














Fill out an entry box below for each image you are submitting. Please ensure you DO NOT write your name or any other information on the image other than requested below.



The corresponding image must be marked clearly on the back with the number '1' and the category into which it is entered.

*Category: Please tick one box below for the category you are entering this image for:


Home
Work
Play
Beauty
Fame

*In which region was the picture taken? (tick one box only, if you are unsure please refer to the map below)

Scotland
N. Ireland
North West inc. the Isle of Man
North East
Yorkshire / Humberside
Wales
W.Midlands
E.Midlands
South West
South East
East of England
London
Channel Islands

If you would like this entry to be considered for display on the YR.1 Online Gallery tick here



OFFICE USE ONLY











The corresponding image must be marked clearly on the back with the number '2' and the category into which it is entered.

*Category: Please tick one box below for the category you are entering this image for:


Home
Work
Play
Beauty
Fame

*In which region was the picture taken? (tick one box only, if you are unsure please refer to the map below)

Scotland
N. Ireland
North West inc. the Isle of Man
North East
Yorkshire / Humberside
Wales
W.Midlands
E.Midlands
South West
South East
East of England
London
Channel Islands

If you would like this entry to be considered for display on the YR.1 Online Gallery tick here



OFFICE USE ONLY











The corresponding image must be marked clearly on the back with the number '3' and the category into which it is entered.

*Category: Please tick one box below for the category you are entering this image for:


Home
Work
Play
Beauty
Fame

*In which region was the picture taken? (tick one box only, if you are unsure please refer to the map below)

Scotland
N. Ireland
North West inc. the Isle of Man
North East
Yorkshire / Humberside
Wales
W.Midlands
E.Midlands
South West
South East
East of England
London
Channel Islands

If you would like this entry to be considered for display on the YR.1 Online Gallery tick here



OFFICE USE ONLY







REMINDER: Each entrant must be the sole author and owner of the copyright in all of the images entered.

Regional map

To help you fill in the entry form please use this map to identify the region in which your photo was taken,

1. Scotland
2. N.Ireland
3. North West, including the    Isle of Man
4. North East
5. Yorkshire / Humberside
6. Wales
7. W.Midlands
8. E.Midlands
9. South West
10. South East
11. East of England
12. London
13. Channel Islands









Queries

Firstly, please check the Terms and Conditions. If your query is not answered there see our 'Frequently Asked Questions' on Teletext on Channel 4 page 316 and on the YR.1 website, www.channel4.com/yr1. Otherwise call us on our local rate enquiries number 0845 111 0003 between the hours of 9:30am - 5:00pm, Mondays to Fridays, until Friday, 6th April 2001. Please note we can not confirm receipt of entry.


CHECKLIST
Please check you have:

Read and understood all the Terms and Conditions
Filled in all your contact details correctly, including your       full postcode
Ticked all the necessary boxes for each entry
Written the entry number (1, 2 or 3) and category on the       back of each submitted image
Ensured that your name is not on any submitted image
If you're under 16, made sure a parent or guardian has       read the Terms and Conditions and signed your entry form.