Blueprint Exhibition Space Application Form

First name
Surname
Pronouns
Do you identify as Aboriginal, Torres Strait Islander and/or Australian South Sea Islander?	Yes No
Date of birth:
School (if still attending)
University (if attending)
Best contact telephone number:
Address
Website/socials address
Email
Title of work 1:
Title of work 2:
Title of work 3:
Title of work 4:
Title of work 5:
Do you have parental permission to enter this competition if under 18?	Yes No
Provide us with a max.100-word explanation of what inspired your work

Civic Centre Precinct
Gordon Street
PO Box 41
Mackay, QLD 4740

Closed until June 2024 for building improvements works

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