Personal tools

Personal tools

Community Photo Contest Form



Official Entry Form


Category:    Adult,    High School,    8 to 8th grade

(please circle)






Address                                                                      City, State, Zip



Phone                                                                         E-mail



Photo ID#/File Name



Photo Caption/Title



Where was your photo taken?



What is your photos story?  (optional)











I grant permission to use the submitted photograph on the Community Room’s wall and in advertising the community of Ackley in print or online.  I will make no monetary or other claim against the committee for the use and publication of my photograph.



Signature                                                                                                       Date



Parent/Guardian Signature (if under the age of 18)                               Date


Please submit the completed entry form with each photo by mail to Ackley Public Library 401 State St. Ackley, IA 50601, e-mail to, or delivery to the Ackley Public Library.  Entry Deadline:  Midnight, August 1, 2015.

This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.