2009 Arts Picnic Registration Form
Submit by July 1, 2009

(all fields are required)
Name:
Address:
City:
State: Colorado
County: Weld 
Zip Code:
Phone:
Email:
Title Of Work:
Media:
Adult and student work must have an insurance value.

Insurance Value $:


Adult Division only:

Sale Price:
Not For Sale:

Student Division only (NOT FOR SALE):

Primary Student (K – 7)


Secondary Student (8 –12)
 
 
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