2018 Youth Art Month Registration Form
PLEASE READ THIS COMPLETELY. Fill out the following form completely and accurately. It is best to have ALL student information at your fingertips before you begin.

Each art teacher with a WAEA / NAEA membership may enter up to five students. Following completion of this form you will receive TWO (2) emails that confirm your registration of works, provide you with the official art labels for student work, an Artwork / Photography Release form which must be completed and accompany any artwork / flag submissions and a second email with the REGIONAL student certificate of achievement.

When sending your artwork submissions to your Regional VPs, remember to include a check for $15.00, made out to Wisconsin Art Education Association. PLEASE DO NOT FILL THIS FORM OUT FORM MORE THAN ONCE and DO NOT USE ALL CAPITAL LETTERS. If you feel you made an error entering information, please contact Frank Korb at waeayam1@gmail.com.

Thank you!

Art Teacher First Name
Your answer
Art Teacher Last Name
Your answer
Art Teacher School District
Your answer
Art Teacher Primary School
Your answer
Art Teacher School City
Your answer
Art Teacher Primary School Street Address
Your answer
Art Teacher School ZIP
Your answer
Art Teacher School Phone
Your answer
Art Teacher Email
Your answer
Art Teacher Phone Number
Please enter the BEST phone number to reach you at where you can / will get messages in a timely fashion.
Your answer
NAEA / WAEA Membership Number
Your answer
Wisconsin County
Your answer
WAEA Region
Captionless Image
Student First Name 1
Your answer
Student Last Name 1
Your answer
Student Grade Level 1
Artwork Title 1
Your answer
Artwork Medium 1
Your answer
School Name 1
Your answer
School Street Address 1
Your answer
School City 1
Your answer
School Zip Code 1
Your answer
Image Release Permission 1
Parental permission to post an image of the artwork / student likeness on the WAEA website or any other form of digital, print, or other publicity, advertising, or promotional materials / media that may be obtained.
Awards 1
Parental permission for the artwork to be considered for the Nasco Awards, WAEA Awards, Sax Awards, Sargent Awards, or DPI Awards (and any other awards that may be obtained at the time of the State Show).
School District
Your answer
Student First Name 2
Your answer
Student Last Name 2
Your answer
Student Grade Level 2
Artwork Title 2
Your answer
Artwork Medium 2
Your answer
School Name 2
Your answer
School Address 2
Your answer
School City 2
Your answer
School Zip Code 2
Your answer
Image Release Permission 2
Parental permission to post an image of the artwork / student likeness on the WAEA website or any other form of digital, print, or other publicity, advertising, or promotional materials / media that may be obtained.
Misc. Awards 2
Parental permission for the artwork to be considered for the Nasco Awards, WAEA Awards, Sax Awards, Sargent Awards, or DPI Awards (and any other awards that may be obtained at the time of the State Show).
Student First Name 3
Your answer
Student Last Name 3
Your answer
Student Grade Level 3
Artwork Title 3
Your answer
Artwork Medium 3
Your answer
School Name 3
Your answer
School Address 3
Your answer
School City 3
Your answer
School Zip Code 3
Your answer
Image Release Permission 3
Parental permission to post an image of the artwork / student likeness on the WAEA website or any other form of digital, print, or other publicity, advertising, or promotional materials / media that may be obtained.
Misc. Awards 3
Parental permission for the artwork to be considered for the Nasco Awards, WAEA Awards, Sax Awards, Sargent Awards, or DPI Awards (and any other awards that may be obtained at the time of the State Show).
Student First Name 4
Your answer
Student Last Name 4
Your answer
Student Grade Level 4
Artwork Title 4
Your answer
Artwork Medium 4
Your answer
School Name 4
Your answer
School Address 4
Your answer
School City 4
Your answer
School Zip Code 4
Your answer
Image Release Permission 4
Parental permission to post an image of the artwork / student likeness on the WAEA website or any other form of digital, print, or other publicity, advertising, or promotional materials / media that may be obtained.
Misc. Awards 4
Parental permission for the artwork to be considered for the Nasco Awards, WAEA Awards, Sax Awards, Sargent Awards, or DPI Awards (and any other awards that may be obtained at the time of the State Show).
Student First Name 5
Your answer
Student Last Name 5
Your answer
Student Grade Level 5
Artwork Title 5
Your answer
Artwork Medium 5
Your answer
School Name 5
Your answer
School Address 5
Your answer
School City 5
Your answer
School Zip Code 5
Your answer
Image Release Permission 5
Parental permission to post an image of the artwork / student likeness on the WAEA website or any other form of digital, print, or other publicity, advertising, or promotional materials / media that may be obtained.
Misc. Awards 5
Parental permission for the artwork to be considered for the Nasco Awards, WAEA Awards, Sax Awards, Sargent Awards, or DPI Awards (and any other awards that may be obtained at the time of the State Show).
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