Montage Submission Form

Instructions: This form must be completed, or we will not be able to consider your work for publication. All written work must be submitted using this electronic form. We do not accept hard copy versions of written material. Visual artwork and media must be submitted to the East and West Campus RC drop boxes.


Name:


Student ID Number:

Type of work: (select one)

   

Title of work:

Name under which to publish:

**(This may be a pen name, or your real name)

Statement of originality:
I certify that this work is an original creation of the artist named above.

Internet Release:
I, the student named above, hereby give my permission to Lake Park High School to display my work as printed in Montage on the Lake Park High School web site.

Please paste your work here: