ENTRY FORM
2001-2002 SWEATFREE SCHOOLS POSTER CONTEST
Please print, fill in every line and use ink.
Student's Name__________________________________________Grade_______
Student's Home Address______________________________________________
City_______________________________________Zip Code___________________
Student Phone Number (include area code): ____________________________________
I certify that this poster is the original artwork of this student.
Teacher's Name___________________________________________________
How many of your students participated in this contest?____________
Principal's Name______________________________________________________
School & District Name__________________________________________________________
Street Address________________________________________________________
City_______________________________________Zip Code___________________
RELEASE MUST BE SIGNED BY STUDENT'S PARENT OR GUARDIAN
I,__________________________________________Parent/guardian (circle) of
____________________________________________(Student's full name) hereby agree to and give permission to the New York State Labor-Religion Coalition and its authorized representatives and assigns to keep, use, distribute, reproduce, display, film, publish or exhibit artwork produced by my child for the New York State Labor-Religion Coalition's poster contest without my prior approval and without any financial or legal responsibility or liability. The right to use these artworks is understood to include the right to copyright the materials as a whole or in part.
Signature:_______________________________________Date:________________
Failure to follow the Contest Rules may render the entry ineligible. Mail entries to
Sweatfree Schools Poster Contest, NYS Labor-Religion Coalition, 159 Wolf Rd. , Albany, NY 12205-1198