Street Shot - Independent Stream Form

Young people who have attended an education session conducted by LiverWELL/Hepatitis Victoria through their education sessions can register directly.

People aged under 25 years who are not supported by an educational organisation or youth program are invited to submit an entry into the StreetShot competition below. But before entering the StreetShot competition, first read about viral hepatitis. You can also call the free Hepatitis Victoria Infoline 1800 703 003 for an explanation of viral hepatitis and ask questions. A staff member can call you back from the same infoline number.

Submissions to the Competition – entries to be submitted as photographs, video or audio recordings for upload.

It is preferred that videos and audio recordings be kept to around 60 seconds to 2 minutes in length.

First Name*
Last Name*
Age*
Email*
Phone*
Post Code*
Alternative Contact Number
Title of Entry*
Description*
File
Max. file size: 128 MB.
You may upload an MP4, MOV, AVI, MP3 or wav file of up to 100MB with a preferred resolution of 1280×720, 1920×1080 or higher.
Title of Entry*
Description*
File
Max. file size: 128 MB.
You may upload an MP4, MOV, AVI, MP3 or wav file of up to 100MB with a preferred resolution of 1280×720, 1920×1080 or higher.
I/we have received consent from the subject/s of this photography or video or audio recording for their image or audio recording of their voice to be used for the StreetShot competition.
Consent
I/we have received consent from the subject/s of this photography or video or audio recording for their image or audio recording of their voice to be used for the StreetShot competition.
By checking the box, I understand that Hepatitis Victoria reserves the right to use my entries in a non-profit way for exhibition, educational and promotional purposes only and copyright ownership remains with the creator of the entries. Hepatitis Victoria agrees not to knowingly use any image in a manner that may be deemed adverse, or defamatory to the persons named in this form. I understand that submission of an entry to this competition does not guarantee display at the exhibition or receipt of prizes. I consent for photographic prints of my images / arts entries and copies of video or audio recordings of my entries to be used by Hepatitis Victoria as detailed above, and I acknowledge that photographic printed images are the property of Hepatitis Victoria.
Usage rights
By checking the box, I understand that Hepatitis Victoria reserves the right to use my entries in a non-profit way for exhibition, educational and promotional purposes only and copyright ownership remains with the creator of the entries.

Hepatitis Victoria agrees not to knowingly use any image in a manner that may be deemed adverse, or defamatory to the persons named in this form.

I understand that submission of an entry to this competition does not guarantee display at the exhibition or receipt of prizes.

I consent for photographic prints of my images / arts entries and copies of video or audio recordings of my entries to be used by Hepatitis Victoria as detailed above, and I acknowledge that photographic printed images are the property of Hepatitis Victoria.

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Street Shot – Registration Form