Please fill out and submit the form below in order to register for the Congressional Art Competition. * marks required fields of data. Student Information Prefix: - None -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbi First Name: * Middle Initial: Last Name: * Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.Ph.D.and Family Grade: * T-Shirt Size: * Student Contact Information Street Address: * Street Address Continued: City: * State: * Zip Code: * Student Phone Number * Parent Information Parents/Guardians Name(s): * Parent Home Phone Number: * Parent Work/Cell Phone Number: * School Information Name of High School: * Street Address: * City: * State: * Zip Code: * Art Teacher Name: * Art Teacher Phone Number: * Art Teacher Email: * Entry Information Entry Title: * Medium: * - Select -PaintingDrawingPrintMixed MediaComputer GraphicPhotography Description: * Photo * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. CAPTCHAPlease help prevent spam; Thank You