Painted Memories Artist Registration
Please submit your information if you are interested in painting the homes and land for people who were impacted by the storm.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
We request permission from the artist to include their image as part of a collection for future fundraising projects, such as printed books, calendars, and other similar materials. While the artist retains the rights to use their image of their artwork for personal purposes, we would hold permission to reproduce this image as part of our collective series, helping us raise funds in the future.
Please Select
Yes, I agree to give permission to reproduce an image of my artwork as part of a series to be used in the future.
Address - if you are going to want to be sponsored to paint
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Paintings should be in an 80 - 100 square inches. How many paintings would you be willing to paint for free?
Would you like to be sponsored to paint additional homes past the number you are willing to paint for free. Sponsorship will be $125 per painting of that size range.
Yes
No
Would consider, contact me if needed
In order to participate, a photo of each painting you complete is required to be used for a possible exhibit or collection, or for archival purposes.
Please Select
I understand and agree to provide a photo of my finished paintings
If you have already painted a submitted home, please take a photo of it and submit it here.
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