2024 IDPWD Showcase Your Talent : Art Competition Registration

2024 IDPWD Showcase Your Talent : Art Competition Registration

Let us know how we can help you! info@ebenmission.org.au
1. Personal Information
Full Name*

First NameLast Name
Date of Birth
Participant's Phone Number
Please enter a valid phone number.
Guardian's Phone Number
Please enter a valid phone number.
Participant's Email
example@example.com
Guardian's Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Disability (if applicable):(This is optional and can be used to ensure appropriate accommodations are provided)
2. Artwork Information
Title of Artwork
Medium/Materials Used (e.g., paint, clay, digital, etc.)
Dimensions of Artwork (if applicable)
Brief Description of the Artwork (optional)
Does your artwork need special handling or display requirements?(e.g., fragile items, hanging, stands, etc.)
3. Participation Details
I acknowledge that by submitting this form, I am entering the art competition held on December 7th.
I agree to deliver my artwork to the designated venue by [Submission Deadline] and to follow the competition guidelines.
4. Emergency Contact Information
Name of Emergency Contact
Relationship to Participant
Phone Number
Please enter a valid phone number.
5. Consent and Signature
I consent to my artwork being displayed, photographed, or used for promotional purposes (Yes/No).
Signature (or Guardian's signature if under 18

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1. Personal Information