2025 Heads Up Phones Down Video Contest Entry Form

Thank you for participating in the 2025 Heads Up Phones Down Video Contest!

You will receive an email acknowledgement upon submitting this form.

Please enter the information below, and please make sure you make your video PUBLIC on YouTube so that the judging panel can view it.

For updates on the video contest and other events, please visit https://montgomerycountymd.gov/HUPD

Email - (Please DO NOT use your MCPS email address)

What is your MCPS Student ID Number? (If you do not attend MCPS, please enter 000000)

Phone Number

What High School do you attend?

Did you work with other Students from your school on this project? (All team members are REQUIRED to attend the same school)

Yes

What is Teammate 1 MCPS Student ID Number?

What is Teammate 2 MCPS Student ID Number?

What is Teammate 3 MCPS Student ID Number?

About your Video

Title of Video

Please provide a brief description on your experience creating the video and how it will benefit you and others.

How will you continue to advocate for reducing distracted driving after this contest? (50 word minimum)

Uploading your Video

You are REQUIRED to upload your video to YouTube and make it PUBLIC. Once uploaded, copy and paste the link to that video here. See directions on how to do this

YouTube:

Sign into your YouTube account.
In the top right-hand corner, click the video camera icon and then choose Upload video.
The video upload page should appear.
Under "Select files to upload," click and choose "public".
Click Publish.
Any video that is not made "public" on youtube will automatically be disqualified.

URL link to Video

By checking these boxes, I agree that:

This video addresses the dangers of distracted walking, driving, and biking and promotes ways to stay safe on the road.

To be considered to win and to earn SSL hours, this video reflects careful planning, thoughtful insight into the material presented, and accurate and thorough coverage of the content.

This video does not use any copyrighted music, audio/video clips, characters, logos, or other protected material.

If this video wins, all team members will provide signed consent and release forms to receive the prizes. If under the age of 18, a parent or guardian will have to sign the form.

I am aware that by submitting this video to the 2025 Heads Up Phones Down Contest the content may be shared or shown in any way deemed necessary by Montgomery County Department of Transportation and MCPS.

​2025 Heads Up Phones Down Video Contest Entry Form

About your Video

Uploading your Video

2025 Heads Up Phones Down Video Contest Entry Form