Student Entry Form
“Building Character through Art” Contest
Sponsored by:
The nIc Foundation and Area Business Partners
(Please type or print clearly)
Student Name_____________________________________________
Grade________ Age_______ School_____________________________
School Address _____________________________________________
City________________ State ____County_____________ Zip________
Signature of Parent / Legal Guardian______________________________
Name of Sponsoring Teacher___________________________________
Signature of Sponsoring Teacher _______________________________
School email _________________________Telephone_______________
Required Student Responses
Category of art work (check one box only)
o Family / Belonging
o Honor
o Achievement / Success
o Integrity
o Compassion
o Self-Worth
o Freedom / Joy
o Generosity / Service
In your own words, tell us about your art work.
Student Signature__________________________________________
All entries submitted become property of the nIc Foundation and will not be returned. Submission of this entry form for the “Building Character Through Art” contest shall be deemed as acceptance of all contest rules and shall constitute assignment to the nIc Foundation any and all right, title, and interest in and to the Artwork, including all copyrights, all publishing rights, and all rights to reproduce, and otherwise use the Artwork in any and all formats or media.
Please send art work and completed entry form by February 20, 2009 to:
nIc Foundation Art Contest
Attn: Ms. Annette Adams, Chairperson
W 8940 Friendship Road
Shawano, WI 54166
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