Kash Art on the Water - Artisan Registration Please fill out the registration form below. 1. First and Last Name:* First Last 2. Business or Studio Name:* 3. Email address:* 4. Website (if applicable): 5. Phone #: 6a. Exhibitor Address:* Street Address Township Postal Code 6b. Exhibit Address on Kashagawigamog Lake (if different than above): Street Address Township 7. Type of Art/Craft:*PhotographyPotteryJewelleryWoodworkingDigital ArtsGlass ArtSculptureMetal ArtOther: Please specify belowOther Art/Craft (Please specify): 8. Description of Craft/Method:9. Exhibitor Agreement:* I have read the Exhibitor information in this form and agree to participate in the Lake Kashagawigamog Organization Kash Art On The Water 2021 event according to the rules established. Lake Kashagawigamog Organization and its volunteers shall not be liable for loss or damage to my property. This agreement and acceptance release those parties named above for any claim for damage arising out of or in consequence of my exhibiting in this event. I will be responsible for my own liability insurance. 10. Signature:* 11. Date:* Date format: mm/dd/yyyy12. Artist Registration Fee:*There will be a $50.00 artist registration fee for the event to cover the costs of signage for your property, as well as a portion will be a donation to our charity for the event - Point In Time. Payment can be made by PayPal or by cheque. Please make the cheque out to: Lake Kashagawigamog Organization & mail the cheque to: Lake Kashagawigamog Organization, PO Box 878, Haliburton, ON K0M 1S0 Please include the name of the artist participating in Kash Art on the Water on the cheque. Price: 13. Payment Method:* I will be paying by PayPal I will pay by cheque 14. Are you a LKO member?:* Yes, I am a member No, I am not a member Do you live on Lake Kashawigamog and would you like to become a LKO member? 15. Total $ 0.00 CAD EmailThis field is for validation purposes and should be left unchanged.