Submission Form: Picturing a Better World
Call for Student Art Work: PICTURING A BETTER WORLD
To submit art work to the Blue Planet Green Living Student Art Gallery, please print this form, complete it, and mail it to:
Picturing a Better World
Blue Planet Green Living
312 Ronalds Street
Iowa City, IA 52245
Date:____________________________________
I affirm that this is my own, original work, and that I have the right to sign this agreement.
I hereby grant permission to Blue Planet Green Living to publish my work on Blue Planet Green Living. The decision to publish a work will be determined solely by Blue Planet Green Living.
I understand that all submissions become the property of Blue Planet Green Living and will not be returned. (Note: Selected student work will be displayed at future shows. Sign up to receive announcements on Blue Planet Green Living.)
Student (print name): _________________________________________________________
Student (signature): __________________________________________________________
Age:_______________________________________________________________________
Parent/Guardian (print):
__________________________________________________________________________
Parent/Guardian Signature:___________________________________________________
Parent email (optional):_______________________________________________________
Teacher’s Name or Classroom _________________________________________________
Grade:_____________________________________________________________________
School Name (or Home School):________________________________________________
City: _______________________________________________________________________
State/Province:_______________________________________________________________
Country:_____________________________________________________________________
Description of My Artwork (100 words or less):_______________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Criteria:
Size: 8 1/2″ x 11″ paper
Media: water colors, acrylics, chalk, charcoal, pen, pencil, crayon, or felt tip marker
Subject: Picturing a Better World
Description: Provide a title and/or up to a 100-word description of the work
Blue Planet Green Living (Home Page)
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