ARTWORK SUBMISSION FORM – GOODERA Step 1 First Name Last Name Parent/Guardian Full Name E-mail Contact no Country State Select State City Select City Company Select Company Apple Google Amazon Microsoft Birth Date How did you learn about this Art contest VOSAP volunteer Art School Company NGO FaceBook Instagram Others Category Primary (Pre-K-Grade 5) Middle School (Grades 6-8) High School (Grades 9-12) Adults (Any Age) Professional Artist(Any Age) Are you Specially Abled Person? Yes NO Please Select: Select type of your disability Locomotive Disability Visually Impaired Hearing Impaired Learning Disabilities Multiple Disabilities Whould you like to receive VOSAP updates in future? Yes NO Address Ownership in any submission shall remain the property of the entrant unless donated to VOSAP. However, entry into this program constitutes entrant’s irrevocable permission and consent that VOSAP may display, copy, reproduce, enhance, print, sublicense, publish, distribute and create derivative works for VOSAP purposes. VOSAP is not responsible for lost or damaged entries. Submission of entry into the VOSAP program constitutes all rules and conditions.