sign up for youth art tell

  Please use the form below to submit this art work:

 ART-TELL 2011 Youth Art  Entry Form:  Due  April 1, 2011

For: 7.5 x 9" art work glued to 9x12 colored construction paper with an additional 3 inch high description/ explanation.  ( see guidelines on website) 
Please make sure name and phone are lightly penciled in on back of art and story 


 This entry form must be paper clipped with both parts of entry.   

Student's Name                                                                               age                   

 School  and grade                                                               

 Parent's name                                                                                    

Home address:                                                                                                 

Phone number(s):                                                                

 City and zip code:                                                  

 Story Title:                                                                       

 Author: (If no book author,  List  self or  ‘family story, or folk tale, etc)  


 List art media used:   


 Verification and  Consent :    

Youth Art  Contest 2011

 As parent/guardian, I verify that this art work has been completed entirely by  (student's name)                                                          . 

 I understand that all effort will be made to preserve the entry, however, in case of any unforeseen  incident,  any damage will not be held against  the  Fine Art Center.   Artwork submitted will be available to be picked up at the Fine Arts Center April  8 through 29.  

 I further give consent for the Fine Arts Center to publish articles or pictures of  said student and their artwork to promote the event and announce winners, etc.  


Signature                                           Relationship                                              Date  Return to: The Fine Arts Center, 58 So. 100 West, Brigham City, UT  84302   

 Ph.  435-723-0740,  e-mail: ,