Student Name
*
First Name
Last Name
School
*
Year Level
*
Please Select
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Parent/ Guardian Name
*
First Name
Last Name
Parent/ Guardian Phone Number
*
-
Area Code
Phone Number
Parent/ Guardian Email Address
*
Student Email Address for copying in students on emails to parent/ guardians
Age Division
*
Please Select
Junior: Grade 5 & 6
Intermediate: Grade 7, 8 & 9
Senior: Grade 10, 11 & 12
Category
*
Visual arts prize
Creative writing prize
Please provide a statement of up to 150 words reflecting on the artwork or creative writing piece and how it interprets justice and mercy in the 21st century:
*
0/150
1 Digital image of visual art (jpeg or TIFF files at 300 ppi)
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of
1 url link for Vimeo or Youtube page
1 Password to access video on Youtube or Vimeo page
1 digital PDF file of creative writing piece
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of
PARENT/GUARDIAN CONSENT & COPYRIGHT CONFIRMATION: Do you, as parent/ guardian give consent for the above named student to enter the Sisters of Mercy Brisbane Arts Prize, 2021? Providing consent gives the right to the Sisters of Mercy, Brisbane and Adderton: house & heart of mercy for the above named student's details of full name, school and year level to be exhibited along with their artwork submission and statement at Adderton: house & heart of mercy and other Sisters of Mercy Brisbane sites and for images of their artwork, full name, school and year level to be published on Sisters of Mercy Brisbane associated websites, social media and other associated publications to the wider community. Images of shortlisted entries remain the property of Sisters of Mercy, Brisbane. Do you confirm this work submitted is original, solely the student's own material and does not infringe any copyrights or any other rights of third parties? If using anyone else's intellectual property in whatever format it is your responsibility to ensure all prior licences, permissions and consents have been obtained. Please use your mouse or stylus to provide your signature and first and last name below confirming the above.
*
Name
*
First Name
Last Name
STUDENT CONSENT & COPYRIGHT CONFIRMATION: Do you, as the student entrant to the Sisters of Mercy Brisbane Arts Prize, 2021 give consent to the Sisters of Mercy, Brisbane and Adderton: house & heart of mercy for your full name, school and year level to be exhibited along with your artwork submission and statement at Adderton: house & heart of mercy and other Sisters of Mercy Brisbane sites and for images of their artwork, full name, school and year level to be published on Sisters of Mercy Brisbane associated websites, social media and other associated publications to the wider community. Images of shortlisted entries remain the property of Sisters of Mercy, Brisbane. Do you confirm this work submitted is original and solely your own material and does not infringe any copyrights or any other rights of third parties? If using anyone else's intellectual property in whatever format it is your responsibility to ensure all prior licences, permissions and consents have been obtained. Please use your mouse or stylus to provide your signature and first and last name below confirming the above.
*
Name
*
First Name
Last Name
Please tick if you agree to the above but prefer only first name, not last name published
I agree to the above but prefer only first name, not last name is published.
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