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2018 Congressional Art Competition
Student Entry Form: First District of Iowa, Congressman Rod Blum
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* Indicates required question
First Name of Student
*
Your answer
Telephone Number
*
Your answer
Email Address
*
Your answer
Home Address
*
Your answer
Last Name of Student
*
Your answer
Current Grade Level
*
Choose
9
10
11
12
Art Teacher's Name
*
Your answer
Zip Code
*
Your answer
City
*
Your answer
Art Teacher's Email Address
*
Your answer
School Name
*
Your answer
I certify that I am eligible to participate in this competition and that all information provided is correct. Any piece that I submit will be in keeping with contest rules and regulations posted at
blum.house.gov
.
*
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