EmailMe Form - Winter Creativity Contest

Name *

First Last

Address *

Street Address City State Zip Code

Email *

Phone *

### - ### - ####

School Name *

Grade *

Age *

My neighborhood Library branch is: *

Beatley Central

Barrett Branch

Burke Branch

Duncan Branch

Rules & Guidelines

Entries must be in middle school or high school (grades 6-12) to be eligible to win. This contest is a open-ended contest, which means there are no guidelines. It can be about any topic and created in a 2D art format, including photography.

Student Agreement *

Yes

No

I have followed the rules and guidelines as outlined; my work is original work. If my art work is selected, I agree that the Alexandria Library and/or media outlets may use my work.

Parent/Guardian Agreement *

Yes

No

I have read the rules and guidelines and allow my child to submit an original art work to the Alexandria Library. I understand that this work may be posted on the library’s website and/or used in other media outlets (using only first name and last initial to identify).

Parent/Guardian Email

Please provide a parent/guardian email. Once form is submitted a confirmation email will be sent to the parent.

Art Format *

Entry Title *

Description of Entry
(i.e. materials used, dimensions, etc.) *

File Upload *