2024 FSCC COMPETITION ENTRY AND DECLARATION FORM (Parental Consent)
           PLEASE NOTE: This completed FORM must accompany each competition entry.

        The submitted work will not be eligible for the competition unless all information in this form is completed for every student participating in the project. In other words, each student must have a signed form in order for the project to enter into the competition. Florida Chinese Teachers Association (FCTA) reserves the right to reproduce and publish any and all artwork submitted for this competition, and publish the student’s information for promotional and marketing use.
Email *
Student last name: *
Student first name (Name on official documents): *
Age *
Entry type   *
Name of your teacher *
Grade level  (ex. 4th grade) *
Name of your school *
Statement of Authenticity : I hereby declare that this project entry is my original work *
Student’s Name  Printed *
Student’s Signature                                                                            
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Student’s Signature                                                                   *
Date *
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YYYY
Parent / Guardian Consent: I am fully aware of the conditions of entry and the prize in this competition and support the participation of the above  named student. I also give consent for FCTA/FSCC to use the students’ names and photographs for promotional and publicity purposes.
Parent/Guardian Name  Printed *
Parent/Guardian Signature                                                            
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Parent/Guardian Signature                                                             *
Date *
MM
/
DD
/
YYYY
Registration Deadline: Jan 12, 2024                                                                        
Submission Deadline: Feb 2nd, 2024
A copy of your responses will be emailed to the address you provided.
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