17th Annual Living with Asthma Poster Contest Entry Form


Name: ___________________________________________________________________________________________________					

Address: ________________________________________________________________________________________________ 												

City, State, Zip: _______________________________________________________________________________________	

Phone number (with area code): __________________________________________________________________________

Grade in school (as of 9/1/07):	_________________________________________________________________________

School name and address: ________________________________________________________________________________

Teacher’s name: _________________________________ Principal’s name: _____________________________________				

My asthma doctor’s name: ________________________________________________________________________________	

My doctor is a (circle one): 
Allergist/immunologist		Family physician	Pediatrician		Pulmonologist


Posters must include an entry form or equivalent information and be drawn on paper or poster board no smaller 
than 8 ˝ x 11 inches and no larger than 16 x 20 inches. Posters should be colorful – artists may use crayons, 
markers, paint, colored pencils or other media to create their posters. Do not use brand names of asthma 
medications in your drawing.

Use a paper clip or tape to attach the entry form to the poster and mail it to:
Poster Contest, American Academy of Allergy, Asthma & Immunology
555 E. Wells St., Suite 1100
Milwaukee, WI 53202


All entries must be received by Friday, December 29, 2007 – only one entry per person.


For more information, call (414) 272-6071 or visit www.aaaai.org or www.aap.org/sections/allergy 

Note: All entries become the property of the American Academy of Allergy, Asthma and Immunology 
and the American Academy of Pediatrics. Posters cannot be returned.  
The artwork may be released for use by television, newspaper, magazine or other media outlets 
including the Web/Internet/Intranet or for promotional or marketing purposes at the discretion 
of the AAAAI and AAP.

I understand the poster contest rules, and hereby grant the AAAAI, AAP or their assignees 
permission to use my child’s artwork from the 17th annual “Living with Asthma” poster contest 
for the purpose of illustration, publication or broadcast.




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