Response

Congressional Art Competition Form

Student Information:

Prefix

First Name

Last Name

Suffix

Address Line 1

City

State

Zip

Student Email

Confirm Email

Student Cell Phone

Student Home Phone

Grade:

Parents/Guardians Name(s) Phone Number & Email:

School Information:

Name of High School:

High School Phone:

Art Teacher Name:

Entry Information:

Entry Title:

Medium:

Description: Please include a detailed description of the arwork, clearly identifying the major elements of the piece.

Entry Upload: Files must be less than 2 MB. Allowed file types: gif jpg png pdf.

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Comments if needed:

We, the undersigned, represent that the art entry described above is an original work of authorship personally created by the undersigned student.

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