STUDENT ART ENTRY FORM

SCHOOL ENTRY

One entry form per person

Each Student may enter one piece of artwork only.

(Please make a copy for yourself)

I understand that the greatest care will be taken with handling the art exhibits. However the Eastern Carolina Agricultural Fair will not be responsible in case of loss or damage to any of the artwork submitted.

ART TEACHER SIGNATURE:_________________________________________________________________

NAME: _____________________________________________________________________________________

(PLEASE PRINT CLEARLY)

SCHOOL: __________________________________________________________________________________

SCHOOL ADDRESS: _________________________CITY:___________________ ZIP CODE: ____________

SCHOOL TELEPHONE: ____________________ ART TEACHER: _________________________________

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CUT AND ATTACH THIS SIDE TO ARTWORK	CUT AND PRESENT THIS SIDE WITH ENTRY
Type of art: ________ DIMENSIONAL Name of Artist___________________________ Name of Artwork________________________ Materials Used___________________________ Size of Artwork__________________________ Name of School__________________________ Grade in School__________________________ Art Teacher_____________________________ Label “A”	Type of art: ________ DIMENSIONAL Name of Artist___________________________ Name of Artwork________________________ Materials Used___________________________ Size of Artwork__________________________ Name of School__________________________ Grade in School__________________________ Art Teacher_____________________________ Label “B”
Type of art: ________ DIMENSIONAL Name of Artist___________________________ Name of Artwork________________________ Materials Used___________________________ Size of Artwork__________________________ Name of School__________________________ Grade in School__________________________ Art Teacher_____________________________ Label “A”	Type of art: ________ DIMENSIONAL Name of Artist___________________________ Name of Artwork________________________ Materials Used___________________________ Size of Artwork__________________________ Name of School__________________________ Grade in School__________________________ Art Teacher_____________________________ Label “B”

***PLEASE MAKE A COPY FOR EACH STUDENT***