T‑Shirt Design Contest

TRAC T‑Shirt Design Contest – Entry Form

Form must be completed by caregiver over the age of 18.

Artist Name *

First

Last

Age Group *

4-12
13-21

Caregiver Name *

First

Last

Email *

Phone

TRAC Services received: *

Foster/Adoption
SWAN Services
Outpatient

of to Age

Upload Artwork

Drag & Drop Files, Choose Files to Upload

I certify that I am the caregiver of the artist named in this submission. I am at least 18 years of age and have read, understood, and agree to abide by the terms outlined below *

I certify that the submission, including text and illustrations, and any ancillary material were made by the Applicant indicated, and were not copied from another work, photograph, illustration or website, nor made by another. I represent that this submission does not infringe any third party intellectual property rights, nor does it contain any material that is defamatory, vulgar, or otherwise inappropriate. I understand that the submission, including text and illustrations, and any ancillary material will become the property of TRAC Services for Families (TRAC). I give permission to TRAC to use, reproduce, publish, distribute copies to the public, perform publicly, and display publicly the submission, including text and illustrations, and any ancillary material. TRAC may distribute the submission, including text and illustrations, and any ancillary material through a variety of media, including but not limited to print, social media, websites, or any other means. TRAC may also permit a third party to exercise TRAC’s rights, including but not limited to the right to display or distribute the submission, including text and illustrations, and any ancillary material, in a manner TRAC deems appropriate. I understand that my submission may be eligible for appearance at TRAC and other locations if selected, but that no further compensation of any kind will be paid by TRAC or any of its authorized third parties to use, reproduce, prepare derivative works, publish, distribute, perform publicly and/or display publicly the submission.