Registrations of Student Artwork Form
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REGISTRATIONS OF STUDENT ARTWORK FORM
VISION 2015
Complete the following: Include each work entered by your school and submit this Registration Form with all artwork. It is important to type or print legibly.
Coos Art Museum has received from:
School Name:______
Teacher / Contact Name: Daytime Phone______
Address City State Zip
Teacher’s email:______Evening Ph.
The following works of art:
Title Medium Student Name Grade Year Work Completed
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These artworks are to be held at the Coos Art Museum from March 12, 2015 until April 18, 2015.
Delivery Dates: Wed. Feb. 25, Thurs., Feb. 26, & Fri., Feb. 27, 3:00pm-5:00pm. Thurs., March 5, Fri., March 6, 2015 3-5 pm. and Saturday March 7, 2015. Deliver to Coos Art Museum, 235 Anderson, Coos Bay, OR. 97420, telephone 541-267-3901.
Pickup Dates: Coos Art Museum, Saturday, April 18, 2015, 3pm to 5pm, Sunday, April 19- 10am to noon or Tues-Thursday April 21 - 23, 2015, 10pm to 4pm. If unable to meet the scheduled dates, please contact Coos Art Museum to make special arrangements.
235 Anderson Avenue Coos Bay, Oregon 97420 phone: 541-267-3901, fax: 541-267-4877, email: [email protected], web: www.coosart.org