Faces of Dyslexia Self-Portrait Entry Form

Thank you for entering the Faces of Dyslexia 2021 competition. What an achievement stepping up and showing what your face of dyslexia looks like congratulation. This competition is open to all ages. Please see details below if you are entering work on behalf of a child or young person under the age of 16.

Please note: If you do not identify as having a learning disability or you are not submitting on behalf of someone who has a learning disability you are unable to participate.

I identify as having a learning disability - dyslexia, dysgraphia, dyscalculia, dyspraxia (required)

YesNo I am someone submitting on behalf of a person with a learning disability

I am over: (required)

the age of 16I am under the age of 16 and I consent my guardian is submitting my portrait on my behalf

Promotion of art work (required)

Yes I consent to my portatie and autobiography being added to the Dear Dyslexic Foundation website and promoted through their social media channels, newsletter and to media outlets.No I would like to remain anonymous with just my portrait displayed

People’s Choice Awards

I would like to participate in the People’s Choice AwardsNo I only want my portatie to be judged by the panel No I only want my portatie to be judged by the panel and to remain anonymous

What is the amount of money you would like to try and rasie for the People’s Choice Award?

$50.00$100.00$500.00$1000.00

Please complete the details below if you are entering the People’s Choice Award on behalf of your child so the fundraising page can be set up for them.

Thank you for completing the entry form.

You will be notified of the out of your self-portrait in September following the judging and the final count of People Choice Award. We will announcing the winners of the 1st of October in line with National Dyslexia Awareness Month.

Next steps are to please email your self-portrait to: [email protected]

For any inquires or if you have any questions you can email: [email protected] or call 1800 589 667.

We wish you all the best.

Shae
CEO and Founder of the Dear Dyslexic Foundation