Denaro Interfaith Center

David Ferranti Multi-Media Gallery

Art and Writing Forum

ARTISTIC ENTRY FORM

Submit 2 copies with each artistic entry.

 Student's information:

 Student's Name:

 

 Student's Age:

 

 Student's Grade:

 

 Home Address:

 

 Home Phone:

 

 School's information:

 Name of School:

 

 School Address:

 

 School Phone:

 

 Principal's Name:

 

 Teacher's information:

 Teacher's Name:

 

 Teacher's Phone:

 

 Teacher's E-mail: