Young Artist Name *

First Name

Last Name

Guardian Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

Phone Number of Young Artist or Guardian

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about the Green Lake Fine Art Show? *

Word of Mouth

Online Search

Social Media

Prior Attendance

Other Art Shows

Local to the Area

Newspaper

Other

Which ONE category BEST represents your artwork for public listing and judging: *

Painting - Acrylic, Oil, Watercolor, Pastel, etc

Pencil/Pen & Ink

Photography

Sculpture - Clay, Glass, Wood, Metal, etc.

Jewelry

Fiber - Tapestry, Weaving, etc.

Mixed Media

Digital

Haver you participated in a show previously? *

Yes

No

Young Artist Parent/Guardian Acknowledgement *

I have read the rules and guidelines and will be responsible for myself/my child understanding and complying with the rules and regulations of this event. I certify that the items to be sold have been designed and executed by myself/my child. I understand that I am responsible for myself/my child and the safety of the materials that are used in the artwork sold by him/her/them. If I/my child is not present, has misrepresented my/their work, or has violated any of the Green Lake Fine Art Show regulations, the committee may remove any objectionable items or terminate my/their participation.

By checking this box, I confirm the above

Photograph & Video Release Form for Town Square

I grant permission to Town Square Community Center and its employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release Town Square Community Center and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview or program, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

I grant permission for the photograph and video release described above

I do not grant permission for the photograph and video release

Electronic Signature *

By checking this box, I agree to assume full responsibility for my entries and am bound by the provisions of this application.