Student Name *

First Name

Last Name

Student School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Artwork Release *

We, the undersigned, represent that the art entry described above is an original work of authorship personally created by the undersigned student to which the student is entitled copyright protection. I certify that the original work, including text and illustrations, and any supplemental material were made by the applicant indicated, and were not copied from another work, photograph, illustration, or website, nor made by another. I represent that this submission does not infringe any third-party intellectual property rights, nor does it contain any material that is defamatory, vulgar, or otherwise inappropriate. I understand that the submission, including text and illustrations, and any supplemental material will become the property of Gritty Cherries, Inc. I hereby unconditionally release Gritty Cherries, Inc., its officers, employees, agents and representatives from any and all claims and demands arising out of the activities authorized under this agreement. I certify I am at least 18 years of age and have read the foregoing Official Rules and fully understand and agree to the contents. I hereby certify that my Parent/ Guardian has my permission to submit artwork to the Gritty Cherries Arts Education (G.C.A.E.) GritLife Art Contest.

First Name

Last Name