S’Mac Down Registration Form

Name

First Last

Name of Parent or Guardian if Under 16

Age

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

You Tube Profile Name

You Tube Video Title

You Tube Video Link

Mac & Cheese Recipe Title

Recipe (upload copy of recipe - can be photo or word document)

Signature - By signing registration you agree to the contest rules and the possible use of your video in future marketing material.