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4. First Name*
5. Last Name*
6. Email Address*
8. Age*:

   *For Youth Submissions Only

12. Photo Title*
13. Date Photo Taken*
    Date Photo Taken
15. Location in Bloomfield*
    -- Select One --Filley ParkPenwood State ParkWintonbury WoodsResidential AreaOther (Please specify)
17. Other Location In Bloomfield*
18. Species (If Known)
20. Estimated Distance from Animal*
    -- Select One --25ft+ (Minimum required)50ft+ (Recommended)100ft+ (Ideal for predators)
24. Contest Categorys*
    -- Select One --🦋 Pollinator Power (Bees/Butterflies)🐣 Young & Wild (Juvenile Animals)🐸 Wetland Wonders (Turtles/Frogs)🦉 Golden Hour Hunters (Dusk/Dawn)🌟 Youth Shots (Photographers Under 16)
26. Photo Upload*
    • Max size: 5MB
    • Formats: JPG or PNG
    • No AI-generated images
    • Must be taken in Bloomfield during the competition timeline.
30. Rights Grant*

    1. I grant the Town of Bloomfield non-exclusive rights to use my photo for educational and promotional purposes.
31. Location Accuracy*

    1. I confirm this photo was taken within Bloomfield town limits.
32. Safety Attestation*

    1. I confirm this photo was taken from a safe distance without disturbing wildlife, feeding animals, or altering the environment.
36. Safety Reminder Section
    ⚠️ WILDLIFE SAFETY FIRST

    • Never approach animals closer than 25 feet
    • If an animal notices you, you're too close
    • Report aggressive wildlife to Animal Control: 860-242-5501
    • Feeding wildlife is illegal and dangerous
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field