Artist Reservation Form - Burn Zozobra

ZozoFest Artist Reservation Form

ZozoFest Artist Sign Up

2024 ZozoFest Artist Form
Artist First Name*
Artist Last Name*
Phone*
Email*
Enter Email Confirm Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
ONLY SUBMIT ONE ITEM PER FORM Short Title of the Art ( 20 Characters only)*
Title of the Art*
Medium*
Dimensions*
Price of the Art Piece (or indicate not for sale)*
I certify I can Drop Off/Pick Up the art:
- Check your email for drop off times and location
File upload image
Drop files here or

Max. file size: 256 MB.
ORIGINALITY CERTIFICATION*
- The below is a true and accurate statement,
I hereby certify that my ZozoFest art entry, which is described above is an original work of authorship by me, the undersigned ARTIST, and that I did not copy it from, nor does it include, any other person’s copyrighted work. Furthermore, I have the right to display and/or sell,the Zozofest Art work entry, free from any claim by any other person and/or entity.
INDEMNIFICATION*
- I represent and warrant the below
I represent and warrant that Kiwanis Club has relied on my representations contained in this form, including the Originality Certification. I agree to indemnify Kiwanis Club from and against any and all losses, liability, claims, actions, settlements, damages, and expenses, including reasonable attorneys’ fees, that Kiwanis Club may incur or suffer arising out of or in any way related to the ZozoFest Art Entry or as a result of my actions or violations of my representations and warranties herein, including but not limited to claims of copyright infringement.
I CERTIFY THAT I ONLY SUBMITTED ONE PIECE OF ART FOR THIS FORM*
- I UNDERSTAND THAT I must fill out a SEPERATE form for EVERY piece of art that I have, I will ONLY submit ITEMS THAT ARE IDENTICAL ARE ACCEPTED ON ONE FORM. Example- 10 PAIRS OF THE SAME EARRING MAY GO ON ONE FORM. If price, size, or design are different you must fill out a separate form.
Sign your application signature below*
If you are under 18, your parent's signature is required below
Date*
MM slash DD slash YYYY