VBE 19: Artist Registration Form
This year City Repair is hosting the Village Building "Emergence" as the kick-off of the 2019 placemaking season. The "Emergence" will be a night of celebration for community members, sponsors, and partners to come together in gratitude and strengthen local relationships. The evening will include a nourishing dinner, local live music, visual art, and placemaker storytelling.

An important part of this evening will also be our silent auction and raffle of local community goods, services, and experiences. Proceeds will directly benefit operations for the 2019 Village Building Convergence (VBC), a 10-day event where City Repair facilitates local creative placemaking projects that empower the interconnection of human communities with the natural world. By day, placemaking projects include intersection street murals, ecological landscaping, and natural building. By night, the evening program welcomes several community leaders, local activists, and grassroots organizers as speakers, facilitators, and panelists. Connections deepen, and the feeling of a modern village comes alive by offering participants a collective sense of place.

We are reaching out to local businesses and organizations to offer items, services, classes, gift certificates, opportunities for experiences, and more for this fundraiser event. By donating to the raffle and silent auction, your contributions ensure that City Repair provides support, resources, and opportunities to help diverse communities reclaim the culture, power, and joy that we all deserve.

At the site of the “Emergence” there will be an Artist Village where local artwork will be displayed for purchase. In exchange, City Repair asks that one print or piece of your artwork is donated to the silent auction and raffle fundraiser.

If you would like to showcase your artwork at the "Emergence," please fill out the form below!

Email address *
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Relationship to City Repair: *
What inspires you the most about City Repair’s work? *
Your answer
Item (object/service/experience) to be donated: *
Your answer
Market value of item:
Your answer
Will you need a donation receipt? *
Information for donation receipt (name/address/etc):
Your answer
How can we retrieve the donation? *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of City Repair. Report Abuse - Terms of Service