POSTER CONTEST 2011 ENTRY FORM
@ yourlibrary
MAIL Artwork to: Dr. Farmer, 12062 Pine St.,
Los Alamitos CA 90720
Los Alamitos CA 90720
================================
ENTRY FORM:
NAME: ___________________________________________
ADDRESS: ________________________________________
TELEPHONE NUMBER: ___________________
EMAIL: _____________________
GRADE: _______
SCHOOL: _____________________________
DISTRICT:____________________________
CSLA Member (ie, TEACHER LIBRARIAN, LIBRARY TECH or AIDE): __________________________________
I understand the CSLA poster contest rules, and will abide by them. I attest that the poster is completely my original work.
________________________ ________________
Student’s Signature/ Date
I understand and agree that upon entering this contest, participants assign to the California School Library Association any and all copyrights for the posters submitted, and they consent to the public disclosure of the applicant's first name, grade, and school for purposes of promoting this and future contests.
______________________ ______________
Parent/Guardian Signature/ Date
