Senior Citizen Art Show Artwork Label "*" indicates required fields First Name* Last Name* Street Address* Street Address 2 City* State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code* Phone*Email* Age* 60s 70s 80s 90+ Category* If mixed-media or 3-D art, specify materials Title* Year done* Artwork Height* Artwork Width* Artwork Depth* Artist Classification* Non-Professional Professional For Sale? Yes No Sale Price Any entry with a dollar value exceeding $400.00 must be privately insured by the artist – either through their homeowners or rental insurance or through their art rider. Every attempt will be made to preserve, secure and protect entry, however, the sponsoring organizations will not assume responsibility for loss or damages incurred. Entry in the show signifies agreement and compliance with this waiverSignatureDate* PhoneThis field is for validation purposes and should be left unchanged.
