The Premier Showcase of American Mining

Youth Art Contest Entry Form

 

 

Youth Art Contest – Entry Form

 

Youth Entrant Full Name (Printed):_________________________________________________________________

Youth Entrant Address):__________________________________________________________________________

Youth Entrant Phone Number and Email:________________________________________________________________________________________

_____________________________________________________________________________________________

Full Name of Guardian (Printed):___________________________________________________________________

By entering the Youth Art Contest and by my signature below, I acknowledge having read and hereby agree to the enclosed Youth Art Contest Rules and Conditions of Participation

Signature of Youth Entrant:_______________________________________________________________________

 

Date:________________________________

 

If Youth Entrant is under 18 years of age, their legal guardian must also complete the following:

Legal Guardian Full Name (Printed):________________________________________________________________

Relationship to Youth Entrant:_____________________________________________________________________

 

I state that I am the Parent/legal guardian of the student named below, and I grant permission for him/her to participate in the Youth Art Contest sponsored by the National Mining Hall of Fame and Museum (Mining Museum).  By entering the Youth Art Contest and by my signature below, I acknowledge having read and hereby agree to the enclosed Youth Art Contest Rules and Conditions of Participation.

 

Signature of Guardian:___________________________________________________________________________

Guardian Address:______________________________________________________________________________

Guardian Phone Number and Email:________________________________________________________________

_____________________________________________________________________________________________

Date:__________________________________

 

 

The Premier Showcase Of American Mining

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