T: 07 5477 3444 F: 07 5477 3477 E: artsfestival@immanuel.qld.edu.au W: www.immanuelartsfestival.com.au126-142 Wises Road Buderim Queensland 4556 PO Box 5025 Maroochydore BC Queensland 4558

Presented by

Sunshine Coast School Student Entry Form

Please fill this form in electronically and save as a word document under entrant’s name. The form can then be submitted by attaching it to an email addressed to artsfestival@immanuel.qld.edu.au . Alternatively, you can print and post to: Immanuel Arts Festival Entry, Immanuel Lutheran College, PO Box 5025 MAROOCHYDORE BC QLD 4558.

Entry FeeStudents who do not attend Immanuel must pay an entry fee of $10 for one piece or $15 for two or three pieces. Pay entry fee online using Flexischools OR direct deposit to our bank account (details at http://www.immanuelartsfestival.com.au) OR post a cheque make payable to Immanuel Lutheran College Commercial Operations with the completed Entry Form. Once online payment is complete please list the receipt number below.

Name:Telephone:

Email:Year Level 2019:

School:Payment Receipt:

Student Work Committee Use:

Title: Medium: Selling Price $ or Not For Sale (NFS): Item Code: Delivered: Collected:

NB – Diptych and Triptych are regarded as two and three entries respectively. All multi-piece works must be clearly identified as such e.g. Winter Diptych (1 of 2), Winter Diptych (2 of 2).

Please read the Conditions of Entry before submitting your Entry Form and keep a copy for your records, entries close 12 April 2019.

I would like funds from my sold artwork or prize money to be remitted to the following account:

23-26 May 2019

Direct Deposit Bank DetailsBSB:

Account Number:Account Name: