NUHA Blogging Prizes Young Writers // Youth // Adult 2017 edition Thank you for participating in the NUHA Blogging Prizes! To submit your article: If you are under 18, please print the form below, fill it out, sign it and get one of your parents or your legal guardian to sign it too. Then, please e-mail it to our Editors (or your school teacher can send it to us on your behalf) at [email protected]. Don't forget to attach your article! If you are 18 or older, please fill out and sign the form below, which you can copy into an e-mail. Then e-mail it to our Editors at [email protected]. Don’t forget to attach your article!

First name _________________

Family name

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Your city

Your country

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_________________

Date of birth (DD/MM/YYYY):

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____ / ____ / ________ Do you want your age to remain private?

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Yes

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Your gender:

Which age category are you in:

Male

Have you participated before?

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No

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Female

Yes

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No

Which statement have you chosen to discuss:

□ Young Writers (born between 2003 and 2007) □ Youth (born between 1999 and 2002) □ Adult (born before 1999) What is the title of your article?

What is the name of your school, or what do you do, and would you like this mentioned next to your name if your article is published:

→ Would you like to subscribe to our newsletter:

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Yes

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How did you hear about the Blogging Prizes:

No

© 2017 NUHA Foundation ● www.nuhafoundation.org ● Registered charity no. 1160523

I hereby certify that I am the author of the attached document (hereinafter the “Work”), and that the Work has not been subject to any transfer of copyright or any other transferable right to third parties, and I hereby authorize the NUHA Foundation, free of any charge, for all countries, during the period of legal protection, to use, reproduce (including reproduction by itself or by a third party), represent (disseminate, distribute or transmit) or adapt (including translation in any language or modification) the Work in all or in part, by itself or by a third party using any kind of format, physical or numerical, known or to be created, for commercial or non-commercial purposes. I hereby waive any copyright right and claim I may have on the Work under the following conditions: (i) the NUHA Foundation must attribute the Work to me by citing my complete name whenever it uses it; (ii) this waiver may have no effect on my moral rights on the Work; (iii) this waiver may have no effect as from the date the Work will fall into the public domain; and (iv) this waiver may have no effect on the rights that third parties may have either in the Work itself or in how the Work is used, such as publicity or privacy rights.

□ Signature

(by checking this box, I hereby electronically sign and agree to the terms of the above)

If you are under 18, please also get one of your parents or your legal guardian to fill out the following: First name

_________________

Relation to author:

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Mother

Family name

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Father

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_________________

Legal guardian

I consent to my [son/daughter/ward] entering into the Blogging Prize and authorizing the free use of his/her work under the following terms. The author hereby certifies that the Work has not been subject to any transfer of copyright or any other transferable right to third parties and authorizes the NUHA Foundation, free of any charge, for all countries, during the period of legal protection, to use, reproduce (including reproduction by itself or by a third party), represent (disseminate, distribute or transmit) or adapt (including translation in any language or modification) the Work in all or in part, by itself or by a third party using any kind of format, physical or numerical, known or to be created, for commercial or non-commercial purposes. The author hereby waives any copyright right and claim he/she may have on the Work under the following conditions: (i) the NUHA Foundation must attribute the Work to the author by citing his/her complete name whenever it uses it; (ii) this waiver may have no effect on the author’s moral rights on the Work; (iii) this waiver may have no effect as from the date the Work will fall into the public domain; and (iv) this waiver may have no effect on the rights that third parties may have either in the Work itself or in how the Work is used, such as publicity or privacy rights. In case of shared parental authority and/or custody, I confirm that the person with whom I am sharing this parental authority and/or custody has given her/his consent and I undertake the present authorization in her/his name. Signature:

Please note that, without the required information, we will not be able to consider your essay. Good luck! PS: did you enjoy that? Why don't you write a second article! © 2017 NUHA Foundation ● www.nuhafoundation.org ● Registered charity no. 1160523