ARTISTS NAME:______________________________________________________________
ADDRESS:____________________________________________________________________
CITY:______________________________________STATE:________ZIP_________________
PHONE:(_____)______________CELL:___________________________________
EMAIL:______________________________________________________________________
DESCRIPTION OF WORK & MEDIUM
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I AM INCLUDING PHOTOS OF MY WORK FOR CONSIDERATION AND THAT CAN / CANNOT BE USED IN PROMOTIONS.
YES_______ NO_______PLEASE WRITE NAME AND ADDRESS ON EACH PHOTO AND INDICATE THE NUMBER OF
PHOTOS BY WRITING 1 OF 3, 2 OF 3, ETC.
I NEED A 10 X 10 SPACE THAT FITS MY CANOPY ____________$ 90.00.
I WANT TO BE IN AN IRREGULAR SPACE ON LAZY WAY______$ 75.00
I WILL SET UP AT THE MONUMENT ON ELIZABETH __________$ 60.00
PAYMENT INCLUDED $______.00
GENERAL RELEASE
The undersigned does hereby forever discharge, release and hold harmless the Schooner Wharf Bar,
The Outsider Artists, or any Other Member of the Open Air Art and Music Affair Committee of and from any and all manner of
actions, suits, damages or claims whatsoever arising from and loss of / or damage to the property or life of of the undersigned
while in possesion or supervision of the Open Air Art and Music Affair or the Schooner Wharf Bar. The undersigned has
read the Rules of the Show and agrees to abide by them.
SIGNATURE_________________________________________________________
DATE:_______________________________________________________________
(for office use)
Date recieved_______________________ Payment amount___________________
Check Number______________________ Space assignment__________________
