2019 Rain Barrel Art Contest Entry Form
All Rain Barrels must be submitted on or before September 24th to the Test Site Art Gallery - 213 N 3rd Street, Rockford, IL

This form must be completed in order to participate in the contest.
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email Address *
Your answer
Group or Organization (if applicable)
Your answer
Tell us a little bit about your group or organization (if applicable)
Your answer
Web Address (if applicable)
Your answer
If more than one person helped with the rain barrel, please list who participated
Your answer
Did you recieve support from a corporation or other entity? *
If yes, please specify who
Your answer
Should this corporation/entity be recognized on the information posted with the physical rain barrel and with images of the barrel.
The rain barrel is being submitted for consideration in the *
Title of Rain Barrel *
Your answer
Artist's Statement *
Your answer
While the event organizers will do their best to make sure the rain barrel is not damaged, I will not hold the event organizers responsible should the rain barrel become damaged, stolen or vandalized. *
I would like the rain barrel to be auctioned off through eBay. *
I have read the information regarding the Rain Barrel Art Contest 2019 posted on the Rockford Sustainability Summit website. *
I plan to attend the award ceremony on October 5th at the Test Site Art Gallery. The event is from 5 pm - 8:30 pm. Winners will be revealed and awarded prizes at 7 pm. *
Contact Bob Babcock 630-417-0042 or email WeLoveRockValley@hotmail.com to arrange a date and time to drop off your finished rain barrel.
Thank you for participating!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy