WFC-Register - Ministry of the People, Social Development and Family Services

Student's Name*

Date of Birth* Age*

Sex* Type of School*

School* Student's Address* Disability (Yes/No)* Disability Details

Parent/Guardian Name*

Telephone* Email*

Category* Title of Art Piece* Medium Used* (e.g. pencil, acrylic paint, watercolor, etc.) Artwork Description (100-150 words)* 0 words

Artwork Image (JPEG/PNG)* Waiver and Consent Form (PDF/JPEG/PNG)*

Student Signature (Typed)* Parent/Guardian Signature (Typed)* Declaration Date* I confirm this submission is original and accurate.