2022 CLEAN DRAINS FORT WAYNE
BE RIVER SMART DRAIN ART APPLICATION
Artist Name
*
First Name
Last Name
Artist Email
*
example@example.com
Please indicate the neighborhood where you live, if applicable.
Example: Northside Neighborhood, Mount Vernon Park, Packard Park, etc.
Artist Phone Number
*
Please enter a valid phone number.
Artist Mailing Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
THIS PROJECT IS ABOUT EDUCATING OUR COMMUNITY. PLEASE INDICATE THE VERBIAGE YOU INTEND TO INCORPORATE INTO YOUR DRAIN MURAL DESIGN. YOU MUST CHOOSE ONE OF THE PREPARED OPTIONS or SUBMIT YOUR UNIQUE PHRASE, WHICH WILL BE REVIEWED BY THE COMMITTEE. IF A UNIQUE PHRASE IS NOT APPROVED BY F.O.R., ARTISTS MUST USE ONE OF THE BELOW PREPARED PHRASES.
*
ONLY RAIN IN THE DRAIN
BE THE SOLUTION, END WATER POLLUTION
ANTHING BUT H2O IS A NO NO *
KEEP CLEAN FOR DOWNSTREAM
OTHER: CREATE MY OWN UNIQUE PHRASE (type in your phrase below)
IF you indicated 'OTHER' above, please type in your drain art phrase here:
Please use proper grammar and indicate any punctuation you intend to include in your verbiage.
Upload Image of PREVIOUS WORK (Optional)
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Please label file with your name_medium
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Upload CLEAN DRAIN DESIGN IDEA (please use the template below))
*
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DRAIN TEMPLATE
Please indicate which month(s) you'd prefer to install your mural in 2022. (Select all that apply).
JULY 2022
AUGUST 2022
ELIGIBILITY
*
Artist is responsible for arranging any desired insurance coverage for personal or liability purposes. Artist agrees to indemnify, defend and hold harmless the FOR, their employees and representatives from any and all claims or causes of action of any kind, and any and all costs and expenses, including attorney's fees, arising from the performance of this project. By checking this box, you acknowledge and agree you are participating in the 2022 Clean Drains Program (“Program”) on a voluntary basis and your participation may involve risks inherent to the activities being undertaken in connection with the Program. You acknowledge that you knowingly and willingly accept such risks and that the City of Fort Wayne and Friends of the Rivers shall have no liability related to your participation in the Program whatsoever. By checking this box, you agree to release, discharge, and hold harmless the City of Fort Wayne and Friends of the Rivers, and each of their respective employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in the Program, whether as a result of bodily injury, property damage, or death. You further acknowledge that this release includes any claims, actions, damages, costs or expenses based on the actions, omissions, or negligence of the City of Fort Wayne and Friends of the Rivers, and each of their respective employees, agents, and representatives.
Photo Release & Documentation Waiver: Artist agrees to permit FOR and its designated personnel to photograph, video and document The Clean Drain Fort Wayne project, and use resulting materials without restrictions or royalties paid to the Artist for archival, promotional, marketing, website, educational and such other purposes as the FOR shall determine. Such photographic and documentary materials shall be the property of FOR.
Artist is 18 years old or older, or has permission from a parent/guardian to participate in this project
Artist can install their mural design in the summer of 2022
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