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Scribble & Play Art for Kids Payment Form
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Instagram Name
Example: @dairybarnarts. If accepted into the exhibition, you may be tagged in posts including your photograph.
Professional/Artist website
If accepted into the exhibition, this information may be included in our gallery and website.
Are you a current student?
*
Yes
No
Prefer not to answer.
What school do you attend?
How did you learn about this opportunity?
*
Dairy Barn Email
Social Media Post
Poster
Postcard
Internet Search
Call for Entry Website
Word of Mouth
Other
If a Call for Entry site, which one?
Other
Payment
A non-refundable entry fee of $40.00 (forty US dollars) will accompany the entry of one to three artworks. Each entrant may pay the entry fee only once to submit up to three works, maximum. All current students and Dairy Barn Arts Centers Members will receive a reduced entry fee of $35 for submission.
Are you a current member of The Dairy Barn Arts Center.
*
Yes
No
Prefer not to answer.
I agree that my artwork submission(s) are eligible for consideration into this exhibition, according to the rules listed in the exhibition prospectus.
*
Yes, I agree.
No, my artwork(s) does not meet the eligibility requirements listed in the prospectus and rules.
Amount
*
$40
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General Submission Rate
$35
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Reduced for current students and members
Add 3% to my total amount to help cover the payment processing fees