Please Complete a Separate Entry Form and Attached to Each Piece Submitted

Please complete a separate entry form and attached to each piece submitted.

Entries must be submitted by 5.00 pm on Friday 21 April 2017.

Name:

Title of work:

Rationale (meaning behind artwork):

Medium:

Address:

Suburb: Postcode:

Phone number: Mobile number:

Email address:

Date of birth: Grade/Year level:

School/Organisation:

Teacher’s name: Email:

·  I agree to my work being entered into Casey Creations Youth Arts Competition 2017.

·  I have read the competition terms and conditions and agree to abide by these competition rules.

·  The City of Casey requests your consent to use, publish or reproduce an image or video/audio recording of you/your child and your/their artwork in hardcopy and electronic mediums. These may include but not limited to, printed media, publications and online mediums via Council’s website and social media. I agree that if I wish to withdraw this consent at any time, it is my responsibility to inform the City of Casey.

CREATOR’S NAME PARENT/GUARDIAN’S NAME

(please print) (please print)

CREATOR’S SIGNATURE PARENT/GUARDIAN’S SIGNATURE

How to submit work:

Entries close Friday 21 April 2017 at 5.00 pm

All work should be marked:

Attention: Youth Events Officer

Work can be delivered to any of the following locations:

·  Cranbourne Youth Information Centre (Shop 156 Cranbourne Park Shopping Centre, Cranbourne) opening hours 9.30 am – 5.30 pm, Monday - Friday

·  Hampton Park Youth Information Centre (22-26 Stuart Avenue, Hampton Park) opening hours 1.30 pm – 5.30 pm, Monday - Friday

·  Narre Warren Youth Information Centre (52 Webb Street, Narre Warren) opening hours 1.30 pm – 5.30 pm, Monday - Friday

Alternatively artwork can be posted to:

Rachael Lang

Youth Events Officer

PO BOX 1000

Narre Warren VIC 3805

By submitting work to the Casey Creations Youth Arts Competition 2017, you are agreeing to abide by these competition rules. If this is unclear, please contact the Youth Events Officer on 9705 5200.

Policy/Disclaimer

Your personal information will be handled in accordance with the Privacy and Data Protection Act 2014 and used for the specified purpose. You can access your personal information by contacting Council’s Privacy Officer on 9705 5200.