Youth Art Prize Submission Form

* Mandatory fields

I am a
-- Please Select --Artist aged 9-18 entering for myselfParent or guardian entering for a young artistTeacher entering on behalf of a student

(If you selects either 'parent' or 'teacher'. Please enter your name and contact number)

Category
-- Please Select --Junior 9-12 yearsIntermediate 13-15 yearsSenior 16-18 years

Artists name *

Artwork title *

Artwork mediums

Is this a group entry *

• Yes
• No

(If yes) please list all artists in the group

Please supply a short statement about the work and how it relates to the theme 'Science, Space and Future Stories' (100 words maximum) *

Phone number *

Email address *

School

How did you hear about the Waverley Youth Art Prize? *
-- Please Select --Parent/teacherPosterFlyerLibrary newsletterArts and culture newsletterPrevious entrantYouth Art Prize newsOther

other (please specify)

Have you entered the Waverley Youth Art Prize before?

• Yes
• No

Upload your image artwork

Please provide your video URL

• I have read, understand and agree to the terms and conditions relating to the Youth Art Prize.