Name *

Name of the student entering

First Name

Last Name

Address

Student' s address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is the entry artwork for sale?

Yes

No

DECLARATION *

By clicking "YES" I declare that the artwork submitted is student' s own original work and has not won any previous art awards. I give permission for my submitted work to be used in any Southern Ocean Art Prize advertising now and in the future. I have read and understand the terms and conditions of entry.

YES

Parent or guardian phone number *

(###)

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