Capital Region ESD 113 High School Art Show Registration Form (Regional Show ONLY)
Each student may enter UP TO TWO PIECES. Fill out one entry form for each piece you submit. Please make sure subject matter is "K–12 appropriate."

FILL OUT THIS FORM if your student DOES NOT want to advance to state-level competition and potentially sell his/her artwork. This form is for students who want to show their artwork at the ESD and be eligible to win scholarships.

DO NOT FILL OUT THIS FORM if your student DOES want to be considered for state-level competition and potentially be required to sell his/her artwork if it wins an award. You must register your student through OSPI's EDS System (https://eds.ospi.k12.wa.us).

So, if your student wants to stay local and you complete this form, we'll then EMAIL you an ADDITIONAL form for each student to ask for their permission (or their parent/guardian's permission, if they're under 18) to display their work, certify that the artwork is original, release the ESD from liability for damage/loss, and use their name & photo in promotional materials.

You MUST include that signed form when you bring the artwork to the ESD, preferably attached to the back. If you do not have a copy of the signed form, we cannot accept the entry.

STUDENT INFORMATION
Name *
Your answer
Grade Level *
Age *
Your answer
Parent/Guardian Name *
Your answer
Email Address *
Your answer
SCHOOL INFORMATION
Instructor Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
School *
Your answer
District *
Your answer
By entering your initials below, you verify that this artwork is completely original. *
Your answer
ARTWORK INFORMATION
Title of Entry *
Your answer
Medium *
Your answer
Description of Work (Please make sure subject matter is "K–12 appropriate.") *
Your answer
What was the student's inspiration for this piece of artwork or what do they like best about it? (1 or 2 sentences): *
Your answer
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