Game Contest “My Avatar”

Candidate's name *

First

Last

Date de naissance //

Enter the date in format jj/mm/aaaa 31/12/2010

Mailing Address *

Address Line 1

City

Province

Code Postal

Email Address *

Email

Confirm Email

Send the file(s) of your avatar and your photo *

Click or drag files to this area to upload. You can upload up to 2 files.

Bonus - My person in acrostic (optional)

You can add an acrostic of words that describe you with your initials.

Name of parent/guardian

First

Last

Parent/guardian email address if different

Email

Confirm Email

Épelle-Moi Canada needs your approval to publish the submitted photos on its social media and websites. *

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