Missouri 2021 Bicentennial Poster Submission Form
Entries should interpret the theme "Sharing Missouri's stories: past, present, and future." Complete, print, and mail this form along with the original artwork to: The State Historical Society of Missouri, Attn: Bicentennial Poster, 605 Elm Street, Columbia, MO 65201.
Sponsor Institution or Organization
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Sponsor Institution or Organization Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsor Point of Contact
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First Name
Last Name
Sponsor E-mail
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Sponsor Phone Number
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-
Area Code
Phone Number
County
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Student Artist's Name
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First Name
Last Name
Grade
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Art
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Paintings
Drawings (colored pencil, crayon, marker, etc)
Mixed Media
Collage
Submission Description
Title
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Description of Artwork
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Disclaimers
I agree that the artwork submitted is an original piece created by the student with no additional assistance, with the exception of appropriate assistive technology devices.
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Agree
The student and the parents or guardians of said student understand and agree that their submission will not be returned.
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Agree
The student and the parents or guardians of said student understand and agree that their submission may be altered or edited for the final production of the Missouri Bicentennial poster.
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Agree
The student and the parents or guardians of said student understand and agree that their submission may be added to the State Historical Society of Missouri collections for archival and promotional use in accordance with its policies for as long as the Society believes said material to be of scholarly or historical value.
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Agree
The student and the parents or guardians of said student understand and agree that submission of artwork grants a non-exclusive license to the Missouri Bicentennial Commission and State Historical Society of Missouri to create, publish, and distribute reproductions of the artwork in print and electronic publications, including but not limited to books, websites, promotional materials, and social media content.
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Agree
Submit
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