Art Competition Form - Print

Office of Congressman Michael McCaul

Congressional Art Competition Form

Name: [required-first] [required-last]
Parents/Guardians: [required-parents]
Street Address: [required-address]
[address2]
City, State Zip Code: [required-city], [required-state] [required-zip]
Telephone #: [required-phone] [speech]
Email: [required-valid-email]
Entry Title: [required-entrytitle]

Education Information

Name of High School: [required-highschool]
Grade: [required-grade]
Art Teacher: [required-teacher]
School Phone: [required-teacherphone]
Medium: [required-medium]

I hereby certify that this entry is my original work and has not been reproduced from any existing artwork. I further certify that it does not otherwise violate copyright law.

Artist's Signature: ___________________________________

Date:_______________________________________

Guardian's Signature: ___________________________________

Date:_______________________________________

Print, and then mail or fax your request to: