NES Clinic Video Upload Entry Form

* = required

INSTRUCTIONS: Please fill out the fields below. For “Company” you may enter N/A. For “Notes/Comments”, please include details on the events before the NES and any other relevant information you believe our team should know about the video upload.

Once you are finished, either “drag” your home videos to the box outlined below OR click the “browse file” hyperlink to browse your device (phone or computer) to identify the video you wish to upload.

PLEASE NOTE: If you are uploading for a family member/loved one, please use THEIR name and information (not yours) so our team can correctly identify who the video belongs to.

For questions, please email: