The W Show Entry Form for pre-selected work

Please fill out this form with the Title, size, medium and price of each work that has been selected for the December-January Art Sampler Show @theW gallery. If you are not sure what work has been selected from the jpegs you sent, email Joanne Tarlin, theW@artswayland.com. We look forward to your participation. Thank you!

Please keep a note of what you are entering here. We will not be emailing you a confirmation of what you submit, but we will be keeping a record for the show.

Important dates: Send jpegs (with title in name) for curating to Joanne Tarlin thru December 30; Dec 23, 4 to 5:30pm - volunteers meeting; Art Sampler opening reception 1 to 4pm. Pick up art Sunday, Jan. 27 from 3pm to 5pm. Work must be picked up on schedule-we cannot store works.

We do not plan to do sales during this show. We will try to have your name and contact info available for interested visitors. If they contact you and purchase, Arts Wayland asks for a 20% donation based on the sold price.

Name *
Name
Phone *
Phone
Address
Address
At least one work is required
Are you a Member? *
Membership in Arts Wayland is $40 a year. It renews in January and is required for participation. Joining is easy at: http://www.artswayland.com/join/
Agreement to the release and waiver of liability *
By checking this box I agree as an artist exhibitor to hereby waive, release, and discharge any claim I may have against Arts Wayland for any damage to, theft of, or loss of my artwork. I do agree to hold Arts Wayland free, harmless, and indemnified from any and all such claims therefore. I understand that I must have my own insurance coverage to protect my work, art, or materials at any Arts Wayland event.