Print out and include the completed form with your entry.

OFFICIAL ENTRY LABEL

2010 T-Shirt Design Contest

Name of student:

Local TAME Alliance affiliation:   Please select your alliance 30 Amarillo 28 BCAME 10 Capital Area 12 DAME 22 FAME (Ft. Worth) 06 GCTAME (Gulf Coast) 16 GTTAME 24 Lubbock 26 Midland 36 Odessa 08 SAAME (San Antonio) 42 Waco 32 Wichita Falls

Gender: Male    Female          Grade:  

Ethnicity:  Caucasian   African-American   Hispanic   Native-American   Asian   Other

Home Address:

City, State Zip:

School Name: 

School City:

Parents' name(s):

Parent contact info (either an email address or telephone):

Signature ________________________________________ Date: ______________________________