2016 Writing and Art Challenge Submission Form

Your Name (required)

Your Email (required)

Postal Address

City

Phone Number

Date of Birth

If under 18, name of parent or guardian who has consented to entry and terms.

Parent or Guardian Phone Number

Parent or Guardian Email

Teacher Contact (if applicable)

School You Attend (if applicable)

Entry Category
elementary School (earn certificate of achievement)Middle SchoolHigh SchoolYoung Adult (Up to Age 24)

Project Title

Please Paste In Written Submissions Here

You can also upload up to 3 Word files, audio MP3 files, pdfs and/or jpg photos of your artwork.

You can also paste in a link to your artwork or video file.

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