Select Photo*

First Name*

Last Name*

Name of the youth artist as it should appear with the artwork.

Age*

Must be between the ages of 11-18

Address 1*

Please provide mailing address. This information will not be published.

Address 2*

This information will not be published.

City, State and Zip*

City

State

Zip

This information will not be published.

Country*

Entrant Email*

Phone*

This information will not be published.

Name of Entrant's Parent(s)/Guardian(s)*

We need parental consent and contact information. This information will not be published.

Parent(s)/Guardian(s) Email*

Address is the same as youth artist.*

Please check box if contact information is the same as youth artist.

If address is different from youth artist, please enter your contact information here:*

Title of Artwork*

As it should appear with artwork.

Art Medium*

Example: oil painting, acrylic painting, charcoal, etc.

How did you hear about the Youth Art Show?*

Please let us know how you learned about this contest (web advertisement/email notification/organization/web search/AQHA/other)

I have read and agree to the official contest rules and advertising. *

Contest Rules and Advertising Agreement*

YOUTH ART SHOW REGISTRATION