5th Annual Cohen Clinic at Centerstone
Community Art Show
Artists of the Future Submission Form
August 18, 2023
You must be under 18 to submit artwork to the Artists of the Future section of the art show.
PERSONAL INFORMATION
FIRST NAME:
*
LAST NAME:
*
EMAIL ADDRESS:
*
PHONE NUMBER:
*
MAILING ADDRESS:
*
Street Address
Street Address Line 2
City
State
Zip Code
Are you donating work on behalf of someone else?
Yes
No
If yes, who is the artist?
ARTWORK SUBMISSION
Please tell us about your donated artwork below:
NAME OF PIECE:
*
MEDIUM:
*
Photography
Watercolor
Acrylic
Mixed Media
Pastel
Charcoal
Pen
Digital Media
Pottery
DIMENSIONS:
*
ARTIST STATEMENT / DESCRIPTION: 100 words or less:
*
Please drop off artwork no later than August 4th, 2023 at:
The Steven A. Cohen Military Family Clinic at Centerstone
775 Weatherly Drive
Clarksville, TN 37043
Please use the "Select Image File" option below to attach an image of the artwork.
Select Image File (file size should not exceed 2.5 MB):
*
Submit
Should be Empty: