MHA GALLERY REGISTRATION FORM

Please complete this form and bring your artwork to the gallery on Intake day. Intake Labels will be provided for you at Intake.

Mint Hill Arts ONLY accepts ONLINE payment for your registration. Please plan to only bring in your artwork on Intake day. See payment details below.
Name:*
Full Name
Address:*

Street Address

CityState / Province

Postal / Zip Code
Phone Number:*
E-mail:*
example@example.com
The Mint Hill Arts Emerging Artists Show has a limit of 3 pieces of artwork allowed for submissions. Please list your items below and include ALL requested information for each piece. This is a 1 month Show.

Instructions for completing your gallery registration:

**Important** PLEASE use proper capitalization on your Name and Title of each piece of art. This information will be printed on your Gallery tags as you have typed it. Add the price of your artwork using a $ before your sale amount (ex: $200) or type in NFS (Not For Sale).
Have the art pieces you are submitting been created in the last 3 years? (Artwork over 3 years old or previously awarded a prize in any prior MHA show should be retired from MHA competitions.)*

YesNo
Enter the following information for the artwork being submitted for item #1
Title for item #1:*
This title will be printed on your gallery tag.
Medium for item #1:*
This medium will be printed on your gallery tag.
Enter Price or NFS (Not For Sale) for item #1:*
This price will be printed on your gallery tag.
Enter the following information for the artwork being submitted for item #2
Title for item #2:
This title will be printed on your gallery tag.
Medium for item #2:
This medium will be printed on your gallery tag.
Enter Price or NFS (Not For Sale) for item #2:
This price will be printed on your gallery tag.
Enter ALL of the following information for the artwork being submitted for item #3
Title for item #3:
This title will be printed on your gallery tag.
Medium for item #3:
This medium will be printed on your gallery tag.
Enter Price or NFS (Not For Sale) for item #3:
This price will be printed on your gallery tag.
Enter ALL of the following information for the artwork being submitted for item #4
Title for item #4:
This title will be printed on your gallery tag.
Medium for item #4:
This medium will be printed on your gallery tag.
Enter Price or NFS (Not For Sale) for item #4:
This price will be printed on your gallery tag.
Which pieces may be allowed offsite if applicable.*
Enter the item # of each piece allowed or enter "None".
Upload Image(s) of Artwork (Optional):
I have read the Mint Hill Arts Liability Waiver; my signature below, written of my own free will, indicates that I agree to its terms and conditions. If I am a minor, my parent/guardian signature below represents their agreement and authorization for my participation.
Signature: *
By typing your name here you agree to the liability waiver.
Submission Date:*

MonthDayYear
To Pay Your Intake Fee:

Select your membership level and hit SUBMIT below. You will be directed to our PayPal portal. You are NOT required to have a PayPal account in order to use your credit/debit card. You may pay as a GUEST simply by clicking on "Pay by Credit/Debit Card".
Cost of Submission is based on your Membership status. Please ensure you select your correct membership level.*
prevnext( X )
Artwork Submission - MemberPlease select this option if applying under an active Member status.
$25.00

Artwork Submission - Non-MemberPlease select this option if applying under a Non-Member status.
$45.00

Total

$0.00
The payment portal service uses a pop-up format that may be blocked by your web browser. Please ensure you have disabled any pop-up blockers or add our site to your trusted sites in settings prior to proceeding.

Thank you!
Please verify that you are human*
Should be Empty:

Enter the following information for the artwork being submitted for item #1

Enter the following information for the artwork being submitted for item #2

Enter ALL of the following information for the artwork being submitted for item #3

Enter ALL of the following information for the artwork being submitted for item #4