Prize Winner

Prize Winner Form

"*" indicates required fields

Name*

First Last

Student ID Number*

What program are you in?

Expected Graduation Date

What is your home campus?*

We will confirm pick up of your prize at the selected campus, or propose an alternate pick up location.

Ashtonbee

Morningside

Progress

Downsview

Performing Arts Centre (Learning Site)

Story Arts Centre

Address

Please Note: prizes are typically only available for pick-up. We will keep your address on file in case it must be shipped.

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

Phone

Email*

Enter Email Confirm Email

Instagram username

What Event or Engagement did you participate in to win this prize?*

Additional Notes

File*

Max. file size: 128 MB.

Please upload the photo of the Pot of Gold item you found to verify your prize.

Date

Phone

This field is for validation purposes and should be left unchanged.