Your Time For Creative Empowerment, Inc. Creative Empowerment Arts Contest Entry Form
OFFICIAL ENTRY FORM to be completed by youth contestants - 'SUBMIT' button is at bottom (center) of this page
Name of Participating Student :
Title of Work:
What is the medium of your work: (e.g. painting, video, poem, etc.)
Current Grade - (8th, 9th, 10th, 11th or 12th)
Name of current School or organization:
Please give a brief description of the work. How did you create it and what message are you hoping it conveys and to whom?
Authorized School/ Organization Personnel Contact:
Assistant Principal, Teacher:( name, email address and phone number)
Parent's Cell Phone Number:
Student's email address:
Student's Phone Number:
Privacy Statement: Please be assured that all contact information you provide to us will be kept confidential.
As parent (18 year-old student), I acknowledge that my child (I) created this entry exclusively for Your Time For Creative Empowerment Arts Contest and has (have) followed all the guidelines and regulations stated in the contest guideline document. Please do not continue with registration if you cannot agree to the following: I understand that by submitting a contest entry, I am agreeing to participate in all contest-related activities which are not limited to Your Time For Creative Empowerment Scholarship Gala, Youth Forum and Arts Exhibition. I will make arrangements with Your Time For Creative Empowerment for them to receive my original entry one week after the contest due date or my entry will become ineligible. I understand that my child's (my) contest entry becomes the property of Your Time For Creative Empowerment and may be distributed publicly with credit given to my child (me) as the creator. I also understand that if it is discovered my child’s submission (my) work is not original, the entry will be subject to disqualification.
By checking this box and typing my name below, I am electronically signing this application.
I am attesting to the fact that I am either the participating student 18 years old or over, the parent of the student participating in this contest, or the authorized guardian to sign this form.
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
Disclosure of required information: In the interest of inclusion, if for any good reason some of the required information cannot be shared with us, please contact us for other validation options.