Voices and Visions 2008 Entry Form

Please fill out the following entry form and turn it in to your local library branch with your art work or poem.

If you are entering both a work of art and a poem, a separate entry form must be filled out for each.
Deadline for entries is February 22nd, drop your entry off at any branch of your local library during library hours

Attach to back of artwork, photography or poetry

Name:_________________________________________________

Address:_______________________________________________

______________________________________________________

Phone Number:__________________________________________

____Check here if you are an adult

____Check here if you are a student and then complete the additional information. 

Grade:__________________________________

School you attend:____________________________   (If home schooled then write home schooled.)

Is this an entry for the Special art topic category called “Why Did the Chicken Cross the Road?”  ___Yes  ___No