¡Excelente! (Youth Artist Submission)

¡Excelente! (Youth Artist Submission)

September 19, 2025 Hispanic Heritage Month Celebration
About Expose Excellence Youth Program

Mission: To provide a safe environment for youth interaction while promoting positive self-expression and the development of life skills and artistic expression.

Fort Bend County youth are invited to showcase their creativity at ¡Excelente! by submitting photos of their original artwork through the form below.

Eligibility & Guidelines:
- Open to all youth under age 18
- Must reside in Fort Bend County
- Must be enrolled in a Fort Bend County school or homeschooled
- All entries must be submitted through the official form (emailed submissions will not be accepted)
- Artwork containing profanity or inappropriate content will not be considered
- Participants are responsible for delivering their artwork to the event location.
- SUBMISSION DEADLINE: September 12th, 11:59 pm
- Drop-off information will be sent out to selected youth.
For any questions, email sara.martinez2@fortbendcountytx.gov
Student Name*

First NameLast Name
Email*
example@example.com
School Name*
Grade*
Age*
Have you participated in other EEYP art-related activities? (Youth Art Month, Art in the Bend, EpiCenter Mural, Justice Center Mural, etc.)*

YesNo
Tell us about your art and/or your creative process*
Upload up to 5 photos of your artwork*

Cancelof
If your file is too large to upload above, please enter a DropBox link below.
Primary Parent/Guardian*

First NameLast Name
Primary Parent/Guardian Email*
example@example.com
Primary Parent/Guardian Phone Number*
Please enter a valid phone number.
Secondary Parent/Guardian

First NameLast Name
Secondary Parent/Guardian Email
example@example.com
Secondary Parent/Guardian Phone Number
Please enter a valid phone number.
Background Information
The information below is collected solely for demographic reporting and safety purposes. All responses are kept strictly confidential and help program coordinators better support participants.

This information will not be used for the selection criteria.
Race*

Hispanic or Latin AmericanAfrican American or BlackAsian American or Pacific IslanderNative American or American IndianWhite or CaucasianOther
Primary Language in Home*

EnglishSpanishOther
Select all that May Apply*

ADD/ADHDAsthmaDiabetesAutism Spectrum DisorderLearning Disabilities or Developmental DelaysNone (NA)Other
Dietary Restrictions or Food/General Allergies*
Medications Taken by Participants*
Permission to Obtain Medical Care

I authorize the Expose Excellence Youth Program to obtain medical care for my child in the event of an emergency. I understand that I am financially responsible for any medical services provided. Emergency care may include transportation by emergency vehicle, pre-hospital treatment, and any hospital, surgical, medical, or dental services deemed necessary for my child’s health and safety.

Media Release

I grant permission for my child to be photographed and/or recorded during program activities. I understand that these images, recordings, and/or my child’s name may be used by the Expose Excellence Youth Program and its affiliates in publications, promotional materials, media outlets, or online platforms. I agree that such use is without compensation and releases me from any liability related to their use.

Liability Waiver Agreement

I give permission for my child to participate in the Expose Excellence Youth Program. In consideration of participation, I release Expose Excellence, its employees, agents, and contractors (‘protected parties’) from any and all liability for claims, demands, losses, costs, expenses, injuries, or damages of any kind arising from program activities, including those that may result from the negligent, grossly negligent, reckless, or willful acts of the protected parties. I waive any such claims that I or my child may have against the protected parties.

Disclosure of Information

Participants in the Expose Excellence Youth Program have the right to confidentiality and privacy. Personal information will not be shared by the program without your written consent.

I acknowledge that I have read and understood the policies and waiver of liability above, and I agree to follow the Expose Excellence Youth Program guidelines and cooperate with staff.
Parent/Guardian Signature*

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