ART COMPETITION ENTRY FORM

Submit Your Entry

Complete the form below and submit your entry by the deadline. After submitting, be sure to drop off your artwork by Monday, June 9 at:

📍 The Picotte Center
503 Matthewson Street
Walthill, Nebraska 68007

If you have any questions, contact Liz Lovejoy Brown at director@picottecenter.org

Artist’s Name

First Name

Last Name

Artist’s Age Category

Under 18

19 & Older

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number

(###)

###

####

Email Address

Title of Entry:

Medium/Art Form:

Entry Description:

Is the Entry For Sale?

Yes