21st Annual Date ________________ Rec’d by _____________ ENTRY FORM Name of Exhibitor ____________________________________________ # Assigned Sleeve Yes Name of Owner ______________________________________________ Name of Quilt (or Description) __________________________________ Size: Width ___________x Height___________ No Predominate Color_______________________ Top made by__________________________________________________ Year___________________ Quilted by____________________________________________________ Year___________________ Tell us about this quilt _________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ _______________________________________________ PLACE PHOTO HERE _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ www.MilwaukieCenterQuiltShow.org Quilt Check-in: Wed, March 4, 2015, 10-2 pm Sat, March 7, 2015, 10-3 pm Tue, March 10, 2015, 5-7:30 pm At The Milwaukie Center EXHIBITOR’S AGREEMENT INFORMATION Name _____________________________________________________________________________ Address ___________________________________________________________________________ Phone Day___________________ Evening____________________ E-mail_____________________ Statement of Responsibility I state that each of the items I am submitting is clean/odor free and has my name and phone number securely attached. I understand that the Milwaukie Center Quilt Show will: 1. Observe check-in and check-out procedures for receiving and returning my items; 2. Handle my items in the course of show set-up and break down; 3. Monitor the display during the show hours; and 4. After hours, secure items in a locked room and building wired with an alarm system. Under these conditions, I agree to display my item(s) for the full duration of the show from 9 a.m.-4 p.m. Friday, March 20 and Saturday, March 21. I agree to pick up my quilt between 5-6 p.m., Sat. March 21, 2015. I agree that photographs and videos taken during the program activities may be used for personal and promotional activities. Signed:____________________________________ Date:_____________________________________ Be A Volunteer! Interested? Ask a committee member for the sign-up clipboard or call the Recreation office at 503-794-8092 Milwaukie Center - A Division Of North Clackamas Parks and Recreation District 5440 SE Kellogg Creek Dr. Milwaukie, Oregon 97222