Please enable JavaScript in your browser to complete this form.Your InformationName *FirstLastFull name for contest administration purposePreferred nameFor public attribution when sharing your work. If left blank we will use your first name onlyEmail *EmailConfirm EmailArtist's Statement *Unless you give us permission to share this publicly, your Artist Statement will only be seen by the Contest Administrators and Jurors.Permission to share Artist's StatementI grant AMES permission to share all or part of my Artist Statement on the AMES/ChARTing Change websites, and all AMES social media channelsYou are not required to grant permission to publicly share your Artist Statement to enter this contestPermission to share contest submissionI grant AMES permission to share all or part of my contest entry on the AMES/ChARTing Change websites, and all AMES social media channelsYou are not required to grant permission to publicly share your contest entry to enter this contest. Winners will be asked to consent to sharing their entries if permission not already grantedYour EntryBy submitting your work to the ChARTing Change Art Contest, you confirm that: *you own all the rights to the entryyou meet the eligibility criteria of the contestyou have obtained consent from all the individuals appearing in your submission including from parents or legal guardian of minorsMediumVisual ArtsPoetry/Spoken WordMusicShort Videochoose all that applyTo submit an audiovisual entry provide the link here:Please include a downloadable YouTube, Vimeo or TikTok link for your audiovisual entryTo submit an image entry: Click or drag a file to this area to upload. Image submissions must be in JPEG format, maximum size of 10MB and image must be no smaller than 1024×768 pixels or 1MBContest Terms and Conditions *I confirm that I have read and understood the contest terms and conditions and agree to themIf you are a minor, please ask your parent/guardian to read the above form, and fill out the following:Name of Parent/GuardianFirstLastEmailEmailConfirm EmailContest Terms and ConditionsAs the parent / guardian / caregiver of the above named contest entrant, I confirm that I have read and understood the contest terms and conditions and agree to them. Furthermore, I grant them permission to enter the ChARting Change Contest.ChARTing Change Contest Terms and ConditionsEmail *Enter Now