Vaping Engagement Competition

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Registration Form

Name(s) of applicant(s) *

Email address (if more than one applicant, please designate one person to receive emails) *

Applicant type *

General public

Student(s) (grades 6-12)

Student(s) (university, college, other)

Community/non-governmental/not-for-profit organization

Researcher

Other:

If you are submitting as part of a community/non-governmental/not-for-profit organization, please enter the name of it here.

Submission title (100 character limit; less than 70 characters is recommended for best title visibility) *

Type of submission *

Video (YouTube, Instagram, TikTok, etc.)

Poster

Infographic

Your submission may be posted on Smoke-Free Nova Scotia’s website and shared through social media channels of partner organizations (e.g., The Lung Association of Nova Scotia). Please confirm that you (the primary applicant) and any other individuals whose name/person appears in the videos agrees to this submission. *

Yes

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