EmailMe Form - 2020 Solution to Pollution Student Submission Form

Use this form to submit your Plastic Art project, Chalkwork, Video Project, or audio recording. Your submission will be displayed on a Virtual Gallery Website to be shared with thousands across WNY>

We want to thank you for your participation in this program.

please contact Andrew Goldstein with any questions at andrew.goldstein@erie.gov

Students directly involved with the submitted artwork: (confidential) *

Names will remain confidential

Grade level *

Your school or town's name:

Referring Teacher Name (if any):

Classroom or group name

Best email to contact *

Kept confidential

Names of student(s) that can be publish along with artwork.

By submitting NAMES in this field, you are giving permission to any of the sponsors, to place the NAMES on social media. The site is for educational and non-profit purposes only.

You may supply first name only, first name with last name initial, or full name.

We prefer that none of the names of the students be on the photos or the videos where the child face appears, unless the parent or guardian gives us written permission.

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