Writing/Art Contest
Submission Form

2012 Holocaust Writing and Art Contest
Submission Form

Click here to download submission form (Word doc)
Click here to download submission form (pdf)

A submission must be attached to each entry or emailed with the entry.  If you are emailing your entry, include the submission form either as an attachment or in the body of the email.

If you are unable to download this form,please email ilanak@wsherc.org or you can copy and paste the fields below into a word document.

Submission Form - Holocaust Writing and Art Contest 2012

CONTESTANT NAME:

CONTESTANT’S EMAIL OR PHONE NUMBER (in case we need to contact you):

CONTESTANT'S CITY AND STATE (the city and state in which you live):

GRADE: GRADE:

SCHOOL NAME:

SCHOOL ADDRESS:

CITY:                      STATE:                 ZIP CODE:

TEACHER’S NAME:

TEACHER’S EMAIL ADDRESS:

AGREEMENT:
I have read and understand the rules and regulations of this contest and I understand that the Holocaust Center will not return my entry. I also understand that the Holocaust Center reserves the right to reproduce, publish, or exhibit any entry.


Contestant Signature (type name if submitting by email/electronically): ____________________________

If you have any questions, please email Ilana Cone Kennedy, Director of Education, at ilanak@wsherc.org or call 206-774-2201. 

Thank you for participating in this contest!