Utility Box Wrap Program

Utility Box Wrap Program

Artist Application
Please note: If you are unable to fill out this form, please email web-Info@fridleymn.gov and the City of Fridley will provide assistance.
Artist Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Youth (under 18 years old)Adult (18+)
Guardian Information
If youth is selected, provide legal guardian information below.

First NameLast Name
Relationship to the Artist
Guardian Email
example@example.com
Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Artist Connection
Provide a narrative describing the artist's connection to the City of Fridley (100 words or less).

0/100
About the Artwork
Provide a description of the artwork including title. If artwork contains elements specific to a specific ethnic or cultural group, include narrative of artist's background or collaboration demonstrating cultural representation.
If you assistance with the file upload, please reach out to PublicArt@FridleyMN.gov and a staff member will coordinate a different submission process.

Accepted artwork formats: pdf, doc, docx, jpg, jpeg, png, svg, eps, ai
File Upload*

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Artist Information