"*" indicates required fields Participant Name* First Last Participant Email* Enter Email Confirm Email Participant PhoneParticipant Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a resident of Sandoval County?* Yes No School Name* Age*Your age:16171819Logo Title* Logo Description*Briefly describe your design and how it represents a positive message, is inspirational, or represents a specific location or community.Upload Logo File* Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 20 MB, Max. files: 1. Participant and Parent/Caregiver Release*I/We understand that The Bernalillo Community Museum may use the design, in its original or adapted form, for publicity or commercially distributed publications for no additional compensation and may use the entrant’s name and/or likeness. I/We hereby grant such uses. Agreed Agreement with Contest RulesI have read, fully understand, and agree to all contest rules, regulations, and provisions. (Review rules) Agreed Participant Signature*Entering name indicates signature approval. Parent/Caregiver SignatureRequired if participant is under 18. CommentsThis field is for validation purposes and should be left unchanged.
