Art Submission Form

Student's Name*

First NameLast Name

Name of School *

County *

If your child is home schooled or has special needs,
please indicate the grade level that best matches their abilities.

Grade*

If your child is home schooled or has special needs, please indicate the grade level that best matches their abilities.

Describe your artwork*

If your child has special needs, please indicate that here.

Upload your file

Browse Files

MOV and MP4 files can't be uploaded to this form. If you are submitting a video, please include a link in the description of your piece so we can watch the video online.

Is the student related to a WSSC Water employee?*

Form Filler's Name*

First Name Last Name

Form Filler's E-mail*

This should be the email address for a teacher or parent/guardian

Teacher, Parent, Guardian Phone Number

Area CodePhone Number

Form Filler's Relation to student*

Parent/Legal Guardian or Teacher

Consent

If the Form Filler is the parent/legal guardian, please provide consent by reading and accepting the clause.

CONSENT CLAUSE: By selecting the "accept" box on this Parental Approval web form, I agree that the student submission becomes the property of the Washington Suburban Sanitary Commission (WSSC Water). WSSC Water has the right to use any submitted artwork in all media formats including print, electronic, or other, in perpetuity. I also give permission for the work to be displayed at various public events, in publications and promotional material, and in electronic format on the Internet by the Metropolitan Council of Government and members of the Community Engagement Committee.

**If the Form Filler is not the parent/legal guardian, marking this box means you understand that any selected finalists will be asked to provide signed parental consent before the entry is deemed a winner.

Parent/Legal Guardian Consent*

By checking the boxes you agree to the following statements*

This is an original piece of art created by the studentThe information you shared above is accurate

Art Contest Submission

Consent