LDA of MISSOURI 2008 ART COMPETITION
INDIVIDUAL APPLICATION FORM

Name ___________________________________________________________________

Home Address ___________________________________________________________

City _____________________________________  State ________ ZIP ______________

Home Phone (_______) _______________________ Age _________ Grade __________

Art Event ________________________ Submitting Teacher ________________________

School ________________________________ School Phone (_____)________________

School Address ___________________________________________________________

School:  City _________________________________ State ________ ZIP ___________

Project Description ________________________________________________________

Newspaper to be Notified ___________________________________________________

Newspaper Address _______________________________________________________

Newspaper: City _____________________________ State ________ ZIP _____________
RELEASE FORM



I, _____________________________________________ agree to allow my project to be exhibited
and published and release LDA of Missouri from liability for loss or damage to my work.  I understand
every effort will be made to handle my work carefully.


__________________________________    ____________________________________
(Artist's Signature)                                                        (Parent/Guardian's Signature)

DEADLINE - MARCH 14, 2008