Online Entry Form

All submissions must be accompanied by an entry form.
The official form is available in PDF here: 2018-19 Reflections Form Student Entry

This year, you have the option to use an online entry form in submitting your artwork. Online forms help our volunteers organize all the details for each piece. After you have submitted your form, you will have the opportunity to print it from home. Please print and attach to the back of your entry.

If you have additional questions or issues with the form, please email Julie Lowry.

Student Name

Parent's Name (unless age 18+)

Student's Grade and Age

Mailing Address

Grade Division

Arts Category

Title of Artwork

Artwork Details (Dance/Film: cite background music; Music: musician(s)/instrumentation; Literature: word count; Photo/Visual: materials & dimensions)

Artist Statement (Must be 10 to 100 words describing your work and how it relates to the theme.)

Parent's Email Address (Parent's Email Address (Most communication regarding your student’s submission will happen via email. Please make sure an active email account is listed so we can contact you with questions and/or updates on your student’s submission.(required)

Student Signature (Sign here after printing this form and attach to the BACK of your work.)

Parent/Legal Guardian Signature (Sign here after printing this form and attach to the BACK of your work.

Ownership in any submission shall remain the property of the entrant, but entry into this program constitutes entrant’s irrevocable permission and consent that PTA may display, copy, reproduce, enhance, print, sublicense, publish, distribute and create derivative works for PTA purposes. PTA is not responsible for lost or damaged entries. Submission of entry into the PTA Reflections program constitutes acceptance of all rules and conditions. Your signature above means you agree to the above statement and the National PTA Reflections Official Rules.(required)