Artist Name (required)

Parent/Guardian Name (required)

School/Organization Name (required)

Artist Grade (required)

Your Email (required)

Will you attend the Awards Dinner on April 3, 2019 at Allied Wealth Partners, 14 Walsh Drive, Parsippany, NJ at 6:30 pm? (required)
YesNo

If yes, how many people will attend? (required)

I grant permission as the parent or guardian of the named child for their photograph(s) to be used by Project Help for the purpose of promoting our mission.
YesNo