Chalk Artist Form

July 15, 2017

Schedule of event
Check in: 7:30 to 9:30 am
Open to Community: 11 am
Judging of Art: 4 to 5:30 pm
Chalk Awards: 6 pm

LOCATION
Downtown Berkley, MI. Check-in at Dorothea and Coolidge Hwy.

The Berkley Street Art Fest is brought to you by the Berkley Area Chamber of Commerce working with a volunteer committee of the Berkley Downtown Development Authority, City of Berkley departments, residents, and business owners. For questions email berkleystreetart@berkleychamber.com
or call 248-414-9157.

Register by June 30th to guarantee a t-shirt.

Artist Name*

First NameLast Name

DOB*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Mobile Number*

Area CodePhone Number

Phone Number

Area CodePhone Number

Name of Sponsor (if sponsorsed)

Team/Family Name (Max. 4 members per Team/Family - also please list names of Team members)

Entry receives one complimentary t-shirt. Please pick size if reserved by June 23. (additional t-shirts can be purchased below*

Artist Registration Fee is per 1 square. Fee required for additional squares. Square is approx 5’ X 5’. Registration includes 1 box of 24 artist chalk. Additional chalk for sale. Artist may provide own chalk. Note fee goes up after June 23rd or onsite to $35/sq Adult/Youth and $50/sq Familty Team. Pay by credit card below or check made payable to Berkley Area Chamber of Commerce and sent to PO Box 72-1253, Berkley, MI 48072. Please make sure you scroll all the way to the bottom to hit submit.

Registration Fee

Adult Artist Age 18+ on day of event$25.00

Youth Age 12 to 17 on day of event$15.00

Youth Age 12 to 17 on day of event - no t-shirt$10.00

Family/Team$30.00

Additonal Square$35.00

Additional t-shirt (additional - receives one complimentary with registration)$10.00

QuantityT-Shirt Size

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

ARTIST DISCLAIMER & WAIVER

The art I create must be suitable for public, family and children viewing (no nude or lewd work, profanity). No words or symbols intended as political statements may appear within the art.
The Berkley Street Art Fest (BSAF) Committee reserves the right to refuse, stop or eliminate objectionable material and their opinion will be final.
I will be courteous, friendly and helpful to fellow artists and members of the public.
Berkley Area Chamber of Commerce (BACC) is allowed to create, use and publish photographs/film/video/electronic representations and/or sound recordings of my design and myself or my minor child at the BSAF and release BACC, its employees, volunteers and related parties from any and all liability from such use and publication.
BACC and BSAF reserves right to not award prizes in selected categories.
I release BACC, all sponsors, organizations, and individuals involved in the BSAF from any liability, product or personal.
I am aware this event will go on rain or shine and no refunds will be given after submitting registration.