Clean Air Art Contest Form

Clean Air Art Contest Form

For TK-12 Students in Yolo County, Dixon, Vacaville, and Rio Vista
Student Name:*

First NameLast Name
2026 Theme: "Heroes for Clean Air"

Submissions due by 4 p.m. Friday, May 8, 2026

Instructions:

Please submit this form to accompany your art submission. To submit your art, please email it to ArtContest@ysaqmd.org or deliver it to YSAQMD at 1947 Galileo Court, Suite 103, Davis, CA 95618.

Artwork must be no larger than 8 ½ x 11 inches. Additional information is available at: www.ysaqmd.org/classrooms.

Questions? Contact Brielle Jamros, Public Information Officer, at BJamros@ysaqmd.org or (530) 757-3669.
How would you like to submit your artwork?

I would like to email it to ArtContest@ysaqmd.orgI would like to drop if off at 1947 Galileo Court, Suite 103, Davis, CA 95618I would like to upload it now via this form
Please upload your artwork below:*

Cancelof
Student Age:*
Student Grade:*
Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email:*
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name:*
School City:*
Teacher Name:*
Parent/Guardian Signature:

I am aware my student’s artwork will become property of the Yolo-Solano Air Quality Management District, will not be returned, and may be reproduced.
Parent/Guardian Signature:*
Should be Empty: