Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Phone Number
*
-
Area Code
Phone Number
Student Email
*
example@example.com
School Name
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Art Teacher Name
*
First Name
Last Name
Art Teacher Phone Number
*
-
Area Code
Phone Number
Art Teacher Email
*
example@example.com
Are you under 18 years of age?
*
yes
no
If you are under 18 years of age, enter the following information for a parent/guardian:
First Name of Parent/Guardian
Last Name of Parent/Guardian
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
-
Area Code
Phone Number
Parent/Guardian Email
example@example.com
What medium is your piece?
*
Painting: oil, acrylics, watercolor, etc.
Drawing: colored pencil, pencil, ink, marker, pastels, charcoal
Collage: must be two dimensional
Print: lithographs, silkscreen, block prints
Mixed Media: use of more than two mediums such as pencil, ink, watercolor, etc.
Computer-generated art
Photograph
Title of Piece
*
Description of Piece
*
Height of Piece
*
Maximum height of 26 inches
Length of Piece
*
Maximum length of 26 inches
Depth of Piece
*
Maximum depth of 4 inches
Is your piece framed, as required by the competition rules?
*
yes
Clear Fields
Please attach a photo of your piece here:
*
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