Artwork Submission Form

Back-to-School Artwork Submission Form

What Makes You Thankful to Live in Connecticut?

Prior to, or along with submission of the original artwork, parent’s or guardian’s, must complete and sign the following form (any artwork submissions received without parental or guardian consent will not be accepted, and all identifying information will be destroyed immediately): I,
Parental guardian's legal name*
First Last
do hereby consent, on behalf of myself and that of my child,
Child's legal name*
First Last
(my “Child”) that Yankee Institute for Public Policy Studies, Inc. (“Yankee”) may collect and use the following information about my Child for purposes of the Back-to-School Art Contest (the “Contest”). I voluntarily provide the following information about my Child and understand and consent that such information may be disclosed by Yankee to the general public.
Child's age as of October 15th, 2020:*
Child's grade as of October 15th, 2020:*
Child's School:*
Child's Teacher Name:
First Last
Parent Email Address*
Enter Email Confirm Email
Parent Phone Number
Title of artwork (if any):
Artwork*
Accepted file types: jpg, gif, png.
Upload artwork here. File types can be .jpg, .gif, or .png. Maximum size of artwork is 50MB.
Consent
Official Rules and Privacy Policy
I have read and understand the Official Rules as posted on Yankee’s website. I have read and understand the Privacy Policy as posted on Yankee’s website. I understand that submission of this consent form along my child’s artwork enters my child into this Contest and personal information that I have included herein about my child may be publicly shared if my child is deemed to be the winner of the Contest; I agree and consent to such disclosure and understand that I am free to revoke my consent at any time upon email to Isabel@yankeeinstitute.org.
Signature*
First Last
Please enter the legal name of the parental guardian. This will serve as an electronic signature.
Date*
Date Format: MM slash DD slash YYYY

Today's date
CAPTCHA
If submitting artwork for multiple children, please submit a separate form for each submission.
Email
This field is for validation purposes and should be left unchanged.

Artwork Submission Form

Back-to-School Artwork Submission Form

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