35th Annual Senior Art Competition, Exhibition & Scholarship Awards Program 2013 Artist Entry/Participation Form Exhibited

April 1st through May 2nd Artist Reception and Awards Ceremony Saturday, April 13, 2013 at 6pm At the Old Jail Gallery in Lahaina Artists Name School Phone (cell) Mailing Address Email Title of Artwork Teacher (home)

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As a child, did you attend Lahaina Arts Associations Art Outreach Classes? Entries of Artwork are to be delivered to the Old Jail Gallery Friday March 29th 1pm-5pm, Saturday March 30th 10am-3pm, or Sunday March 31st 10am-3pm. Artwork needs to be picked up Friday May 3rd 1pm-5pm, Saturday May 4th 10am-3pm or Sunday May 5th 10am3pm. Artist Reception and Awards Ceremony on May at the Old Jail Gallery 6pm Yes, I can attend__________________No, I am unable to attend_____________ Contact: Priscilla Gonzales, Priscilla@lahaina-arts.com, 808-661-0111
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648 Wharf Street, #103, Lahaina, HI 96761 www.lahaina-arts.org Tel: 808-661-0111 Fax: 808-661-9149

If I win an LAA Scholarship, I agree to speak at event(s) supporting LAA. Signature________________________________ Date____________________

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648 Wharf Street, #103, Lahaina, HI 96761 www.lahaina-arts.org Tel: 808-661-0111 Fax: 808-661-9149