Endangered Species Day Art Contest Entry Form

Artist Name:

Address:

City:

State:

Zip Code:

Phone

Age:

Grade:

School, Group or Parent Information (necessary to contact semi-finalists & winners)

School/Group Name:

Teacher/Leader/Parent: 

Phone:

City:

State

E-mail:

Artist’s U.S. Congressional Representative:

Artwork Information

Title:

Medium: 

Species:

Student/Teacher/Group Leader Notice

Please read this before signing the entry form (below). I certify that the artwork provided for the Endangered Species Day Art Contest is my own; it is not a copy or tracing of any published works or other material protected by copyright laws. I authorize the contest partners including the U.S. Fish and Wildlife Service, Endangered Species Coalition the Association of Zoos and Aquariums and the Ogden Museum/ University of New Orleans to use artwork for non-profit educational purposes.

Artist Signature: 

Teacher/Leader/Parent Signature:

Date:

Mail to: Endangered Species Day Art Contest

Ogden Museum of Southern Art

University of New Orleans

925 Camp St.

New Orleans, LA 70130

by March 15, 2012