Online Form - Local History Awards 2025 » Town of Victoria Park Library

First name*

Surname*

Residential Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Postal Address (If different from Residential)

Street Address:

City:

State:

Post Code:

Country:

Phone number (Home)

Phone number (Mobile)

Email address

Title of entry

Award category*

Personal MemoirsOriginal Research
Photographic MemoriesOriginal Poetry or Performance work
Open Entry by a School Aged Child (Years 3-10)

I agree to abide by the Conditions of Entry*

Please try to answer the following questions about the photograph(s) submitted:

Name of the person who took the photograph(s), if known?

Date when it was taken:

Where was it taken?

Who is in the photograph?

In which direction was the photograph taken?

Do you know what is in the background?

Do you know why the photograph was taken?

What additional information can you give about this photograph?

What condition is your photograph in? (please tick box)

FairGoodExcellent

Has this photograph been enhanced or altered?

YesNo

If yes please describe:

Does your photograph have a title? If yes please include below