Writing Guidelines
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Art Contest Submission Form
Student Information
First Name _______________ Last Name ______________________
Home Address __________________________________________
City _____________________________ Zip Code _________-____
Home Phone Number (____)____-_______ Grade ______
Email if applicable ________________________________________
Parent/Guardian Information
First Name _______________ Last Name ______________________
Contact Number (____)____-_______ home mobile
Email _______________________________________________
Teacher & School Information
First Name _______________ Last Name ______________________
Subject ______________________________________________
School Name ___________________________________________
School Address __________________________________________
City _____________________________ Zip Code _________-____
School Number (____)____-_______ Teacher Extension ____________
Teacher Email __________________________________________
State Legislators Go to and put in student’s home address.
State Representative ______________ State Senator ________________
Entry Information
Title ___________________________________________________
Painting Sculpture Drawing Poster Art Collage Other __________
Teacher Approval This portion is to be filled out only the teacher.
I, ___________________________, approve this student’s use of the swastika and/or image of Hitler and deem it appropriate for entry into this contest.
Signature ____________________________________________ Date ______________
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