Comic Animator Entry Form

Student's Name: Student's Age:

Student's Grade:

Mentor Details

Mentor's Name: Mentor's Email Address:

Mentor's Telephone Number: Mentor's Address:

City: State: ZIP:

School Details

Name of School District: Name of School or Homeschooled:

Address of School:

City: State: ZIP:

Comic Information

Name of Comic Strip:

Who is the lead character or protagonist?

Describe in detail the problem in society that needs fixed?:

In what ways is the hero trying to improve society?:

Attach a close-up photo of the comic. You may upload more than one image here:

Image:

You can add up to 4 more images.

Acknowledgement that you have read the rules listed above:

Acknowledge that you have become a fan of Synergy Westchester Facebook page to receive the updates on the competition:

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