Midcoast Maine K-12
Art/Poetry Love/Not Love Contest!
The deadline for entries is April 25.

Student Name *

First Name

Last Name

Parent/Guardian if student is under 18

First Name

Last Name

Student phone number if over 18

(###)

###

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Parent/guardian phone if student is under 18

(###)

###

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I understand that the artwork I submit for this Love/Not Love Finding Our Voices contest can be reproduced for promotional purposes by Finding Our Voices. *

(Over 18) I understand and give permission

Parent/Guardian understands and gives permission

It is OK/Not OK (please check one) for my full name, grade, and name of my school to be included in any public display of my work. *

It is OK to use my name, age, and name of school

It is NOT ok to use my name, age, and name of school

I Do/Do Not (please check one) want my artwork returned to me.

I want my artwork returned to me

I DON'T want my artwork returned to me

If you would like your artwork returned, include your address here. *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country