*1.NAME(Required.)

*2.Email(Required.)

*3.Phone(Required.)

4.Membership / Dental Student - select one

Detroit District Dental Society Member

MDA member of another district

Not a MDA member

Current Dental School Student

*5.The t-shirt design is for which color shirt - must select one.  

Note White t-shirts can accept one or two color designs using red and/or black.
Red t-shirt designs will one be one color - white.  Submit the design in black on a white background..  (Required.)

Red T-shirt

White T-shirt

*6.Media Release

By submitting artwork, you agree that if your design wins, The Detroit District Dental Society retains first printing rights and a free license, in perpetuity, to utilize the design on t-shirts and other promotional items, and marketing, fundraising, and public relations materials. You are guaranteeing that your design does not contain any copyrighted material, including images/copy found on the internet, unless clearly marked as published under a Creative Commons (cc) license. Contest entrants who are not selected as the winning designer(s) retain all rights to their artwork.
(Required.)

Yes, I agree to the media release.

No. I do not agree to the medial release.