<p> WVIA ARTIST OF THE WEEK</p><p>STUDENT AND SCHOOL COMMITMENT FORM</p><p>Please use a separate form for each artist. Only 1 visual and 1 performing artist will be accepted.</p><p>High School (and district): ______</p><p>Student Name:______Grade ______(10-12 only)</p><p>Students Home Number: ______Cell: ______For urgent notification purposes only Student email: ______For Artist of the Year finalist notification sent VIA EMAIL ONLY PLEASE PRINT CLEARLY</p><p>Teacher / Advisor: ______</p><p>Teacher School Number: ______Home: Cell : ______For urgent taping purposes only Teacher email:______For notification of schedule – Schedule sent VIA EMAIL ONLY PLEASE PRINT CLEARLY</p><p>Please Select Your Art Form:</p><p>DANCE MUSIC THEATRE VISUAL ARTS</p><p>If Performing: Please describe your performance. What instrument will you play? Will you sing?</p><p>______</p><p>______Will you require accompanying music? If yes, what will you bring and will you require a piano? Students must provide their own accompanist/recorded music (CD ONLY) WVIA will provide a piano</p><p>______</p><p>______</p><p>Visual: Please have 5 items to showcase. List all mediums and approximate sizes. ALL pieces MUST have a sturdy background or hanger.</p><p>Item #1 Item #2 Item #3 Item #4 Item #5 </p><p>Students and advisers are responsible for their own artwork. WVIA is not responsible for returning or storing artwork left at the studios for either AOW or the Artist Celebration.</p><p>STUDENT SIGNATURE: ______</p><p>ADVISOR SIGNATURE: ______</p><p>PRINCIPAL SIGNATURE: ______</p><p>Please email or fax to Andrea O’Neill, Director of Education at 655-1180 or andreao’[email protected]</p>