DEMOGRAPHIC DETAILS AND CONSENT FORM CHILD'S INFORMATION: Name* Age* Gender* School* Grade* Kindly select one that appliesDifferently AbledNot Differently Abled Father's Name* Mother's Name* Phone Number* Email ID* Address * ARTWORK INFORMATION: Title of Artwork* Medium Used* Brief Description (50 words):* Consent: I, hereby give my consent for my child,to participate in the art event. I permit the organisers to share the following on social media platforms (select ones you permits to use): Child's paintingChild's nameChild's Photo{Optional} A brief description of the child's unique abilities or talents (if applicable) [Optional] - Tell us about your child: [Parent/Guardian's Signature] **Parents this is optional, select only if you want us to champion your child's ability Please submit this form along with your child's artwork to: Mr. Ram #117/2, 7th Cross, M S Ramaiah North City, Thanisandra Main Road, Bengaluru - 560045. Mobile: 9008999906 SUBMIT
