Arts in Ada 2013 Application

Art at the Barn - Online Entry Form

Artist's Name *

First

Last

Business Name *

Artist's Website *

* Indicates required field

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Category (Choose the category that most accurately describes your work (one only)) *

Number of Entries ($15 each) *

Checklist (check all that apply) ----Deadline: August 9, 2014 (Your entry will not be considered until payment is received so do not delay your payment) *

I will mail photo to PO Box 553, Ada Michigan 49301 I will mail my entry fee. ($15 per entry) (Ada Arts Council PO Box 553, Ada Michigan 49301) Deadline: August 9, 2014

Entry #1 Price (if offered for sale) or indicate NFS *

Entry #2 Price (if offered for sale) or indicate NFS *

I hereby release and agree to hold harmless the Ada Historical Society, event sponsors , the Ada Arts Council and Ada Township for any loss, damage to property or any personal injury which he/she or helpers may sustain while participating in this art exhibition. I accept the rules and regulations of the sponsors* *

Yes No

Briefly describe your piece(s) including size of the piece *

Submit

Deadline: August 9, 2014