Chalk Art Registration Form: Adult Chalk Art Registration Form: AdultsAdult Chalk Art Registration | Children’s Chalk Art Registration Artist(s)Adult Artist(s): How many 5'x5' pavement spaces would you like to reserve?* Price: $20.00 Quantity: Adult Artist(s): How many 3'x5' artboard spaces would you like to reserve? Price: $20.00 Quantity: Total Amount Due: $0.00 Please note that payments are non-refundable. If you are unable to participate after reserving your space, you may make arrangements to transfer your reservation to another artist.Artist(s) who will be participating (up to 4 per space)*First NameLast Name Cell phone of primary artistWho should contact if we need to update you about the event?Payment InformationRegistrant's name*The registrant's name should be associated with the payment type (processed via PayPal) First Last Registrant's address*Registrant's billing address. Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Tel:Permission & WaiverPermission and Waiver (type name to sign waiver)*PLEASE READ AND THEN TYPE YOUR NAME TO AGREE TO TERMS: By submitting my name on this form, I hereby release and hold harmless Chelsea Area Festivals and Events, any staff, representative and or agents from all liabilities, mishaps, or losses to any personal or corporate affects that may befall me or my child during this festival or as a result of any activity that may arise under the event. Additionally, I hereby give permission for images captured during Sounds and Sights events through video, photo and/or digital camera, to be used for the purposes of Chelsea Area Festivals and Events promotional material and publications, and waive any rights of compensation or ownership thereto. I also authorize the right to use my/our names, pictures, portraits, videos or photographs on any or all Chelsea Area Festivals & Events web sites and press releases. I hereby acknowledge that I have read and understand the above statement and will abide by the rules of the contest.