National Youth Week

Young Persons Name: *

Young Persons Date Of Birth: *

Young Persons Gender: *

Young Persons Pronouns:

Young Persons Phone Number: *

Young Persons Address: *

School Young Person Attends:

Artist(s) Name - If different to Young Persons name:

Age Category: * 12 - 15 Years 16 - 18 Years 19 - 24 Years

Description of Artwork: *

Please upload a photo of your artwork so we can ensure we have the correct artwork for your application: *

I have read and understood the Terms and Conditions of this competition: * I agree

I give persmission for The Salvation Army Oasis Youth Services Central Coast to take/use photos of artwork/artist. I understand these may be used online on social media and/or The Salvation Armys websites: * Yes No

If I am under 18, I have ticked this box as I have consent from a parent/guardian to enter this competition: I agree

By checking here, I consent to the use of my electronic signature in lieu of an original signature on paper.: * I agree