Cover Art Contest Entry Form Student Info Name * First Name Last Name Birthday * MM DD YYYY Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Teacher Info Name * First Name Last Name Email * Phone * (###) ### #### Submission Info My entry is for: Group 1 (ages 5-9) Group 2 (ages 10-13) Group 3 (ages 14-17) File URL * Artwork must be saved as a high resolution image file. You may scan or photograph your piece but it must be level/not slanted. Please upload your image to a file sharing service (ex. Google Drive, OneDrive) and include the link here: Waiver * I grant ORMTA the non-exclusive right to publish, reproduce, distribute, and display my entry in any media, including Notes magazine, Accent e-newsletter, the ORMTA website and ORMTA social media channels, without further compensation. I agree Thank you for your entry! We will confirm receipt via email.