Vidder Name (name you want on your award if you receive one):
Email Address:
Video Title:
Video URL:
Series or movie your character is from:
Song Title/Artist:
Who is your video about, what's the character's name?
Video description, or is there anything you'd like to tell us about your video:
Do you have a website, You Tube page or something similar? If yes, what is the url?
Can we embed your video on the VIVA website for a period of up to 30 days, if it wins top honors?
yes, you may embed my video
no, please do not embed my video.
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