Scholarship Show ENTRY FORM | Palmer Lake Art Group

Student Entry Form | Scholarship Show

Form for the scholarship award recipients to enter the June Show.

Lname*

last name

Email address*

physical | address, city, zip*

physical address

Fname*

first name

PH contact

Date

today's date

Parent/guardian Name*

PH parent contact*

phone -- parent contact

• Entry 1 TITLE*

Entry 1 PRICE/NFS*

Entry 1 NARRATIVE [short - 30 characters]

Entry 1 SIZE outside dimensions

Entry 1 MEDIUM*

• Entry 2 TITLE*

Entry 2 PRICE/NFS*

Entry 2 NARRATIVE [short - 30 characters]

Entry 2 SIZE outside dimensions

Entry 2 MEDIUM*

• Entry 3 TITLE*

Entry 3 PRICE/NFS*

Entry 3 NARRATIVE [short - 30 characters]

Entry 3 SIZE outside dimensions

Entry 3 MEDIUM*

• Entry 4 TITLE*

Entry 4 PRICE/NFS*

Entry 4 NARRATIVE [short - 30 characters]

Entry 4 SIZE outside dimensions

Entry 4 MEDIUM*

I will deliver the art to Tri-Lakes Center for the Arts between 10-12 am Saturday, Jul 10.*

Yes

I will pick up on Sat, Aug 14 10-12 am*

yes

This field should be left blank