“The Promise Of Roots”Community Art Exhibition Submission Form Please refer to the CALL FOR ART page for detailed information Name * First Name Last Name Tribal Affiliation(s) * Home District * (###) ### #### Age Group * 9 and under 10-19 20-29 30-39 40-49 50-59 60 and over Phone * (###) ### #### Email Submission Title * Date Made (Year) * Medium/Materials * Digital Signature * *Parent/Legal Guardian Signature if Under Do you need assistance with photography of your artwork/creation? * Click YES if you need assistance in taking a high resolution photo of your submission. Yes No Maybe Thank you for your submission!