Youth Art Entry Form Entry Deadline is JANUARY 30, 2021 1 Exhibitor Information2 Art Information3 Upload & Signatures4 Payment Exhibitor Name* First Last School*Date of Birth* Date Format: MM slash DD slash YYYY Email* Phone Number*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Entry*Art Entry* Select All Traditional Photography Digital Sculpture/3D Total $0.00 Title of Traditional Art Piece*Medium of Traditional Art Piece*Inspiration of Traditional Art Piece*What inspired you to create this piece? Or, why do you love to create art? This answer may be used for marketing purposes.Title of Photography Art Piece*Medium of Photography Art Piece*Inspiration of Photography Art Piece*What inspired you to create this piece? Or, why do you love to create art? This answer may be used for marketing purposes.Title of Digital Art Piece*Medium of Digital Art Piece*Inspiration of Digital Art Piece*What inspired you to create this piece? Or, why do you love to create art? This answer may be used for marketing purposes.Title of Sculpture/3D Art Piece*Medium of Sculpture/3D Art Piece*Inspiration of Sculpture/3D Art Piece*What inspired you to create this piece? Or, why do you love to create art? This answer may be used for marketing purposes.Photo of ArtistPlease provide a photo of the artist. This can be as easy as a selfie or the artist creating his/her piece. This photo may be used for marketing purposes. Each exhibitor will need to provide a completed W-9 for payment processing after the contest. Download a blank W-9.W-9 Upload*Accepted file types: pdf, jpg, jpeg, docx, doc, png, gif.We accept pdf,jpg,jpeg,docx,doc,png,gif format files. Maximum file size is 10MB.Certificate of Entry*I hereby make application for entry in Rodeo Austin. As a condition of such entry, I hereby certify that I have read and am familiar with the rules and regulations of Rodeo Austin, including the rules and regulations contained in the current Rodeo Austin Youth Art Show Rules and Regulations document (the “regulations”, capitalized terms being used herein, but not otherwise defined herein, being used herein as defined in the regulations), and that my entry whether one or more, is owned exhibited in accordance with the regulations. I agree that should this certification prove false, I can be disqualified from further participation in all activities of Rodeo Austin and will forfeit all prizes, premiums, privileges, and rights of an exhibitor, including the privilege of selling my entry or any other entry in the auction. Should this certificate prove false after the entry or any other entry has been sold by me in the auction, I agree that I shall forfeit that portion of the price bid at the auction for the entry. The exhibitor and his/her parent or legal guardian, or art teacher understand and agree to the COVID-19, liability and release, and indemnity rules as stated in the general rules of the Youth Art Show Rules and Requirements. Rodeo Austin is the final judge of compliance with Rodeo Austin regulations and policies. I have read and accept the above conditions Acknowledgement of Regulations*I, the undersigned parent or guardian of the exhibitor identified in the application do hereby acknowledge that I am aware of the intent of Rodeo Austin to utilize photographs, video and other likenesses of exhibitors in the events of Rodeo Austin in the media, including but not limited to magazines, newspapers, television, promotional literature, social media and in Rodeo Austin programs. In consideration of the exhibitor being allowed the privilege of participating in the events of Rodeo Austin, I do hereby grant to Rodeo Austin the right to use any such photograph, video and other likenesses of my child or ward in the media. I agree to the above conditions Exhibitor Signature*By my signature above, I hereby certify that I have read, understand, and will abide by all of the regulations of Rodeo Austin. I am aware of the consequences of any violation of the regulations and stated rules. Parent / Legal Guardian Signature*By my signature above, I hereby certify that I have read, understand, and will abide by all of the regulations of Rodeo Austin. I am aware of the consequences of any violation of the regulations and stated rules. Total $0.00 Billing Address* Same as previous Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.