ART CRAWL REGISTRATION Registration Fee Deadline: April 7, 2023*Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Registration Fee Price: By submitting this reservation form, Applicant acknowledges they will agree to abide by all rules set forth therein.Applicant/Artist understands and agrees that by submitting this application, s/he consents to, and authorizes the use of any and/or all images of his/her work in promotional literature and/or other promotional endeavors by the City of Lakeville, Friends of the Lakeville Area Arts Center (FLAAC), Lakeville Area Arts Center (LAAC), its officers, director and agents. Said images may be used in any fashion at the sole and exclusive discretion of the FLAAC. Such uses may include but are not limited to: art festival brochures, print advertisements and festival website.Applicant releases and forever discharges the FLAAC, City of Lakeville, Dakota County, all sponsoring organizations and their directors, officers, employees, agents and volunteers from any responsibility, personal liability, claims, loss or damage arising out of or in conjunction with application to or participation in the FLAAC, which is not responsible for any injury sustained by exhibitors or guests while within space designated for exhibits. Further, Applicant understands that storage of art is at his/her own risk without exception or limitation.Applicant agrees that images submitted for jury are representative of work to be exhibited and that the FLAAC reserves the right, in its sole discretion, to advise Applicant of any work that does not meet the standards set forth, and Applicant agrees that such work will be immediately removed upon request by FLAAC officials. Failure to remove such work or to abide by other rules set forth may result in Applicant’s removal from the Art Crawl and/or Applicant being prohibited from future participation. Exhibits should include originals to any printed material when available. Applicant further agrees that in consideration for participating in the Art Crawl, s/he hereby waives and releases the City of Lakeville, FLAAC, LAAC, its officers, director and agents from any and all liability stemming from any use of the Artist’s work in any of the ways above.Applicant further agrees that in consideration for participating in the Art Crawl, s/he hereby waives and releases the City of Lakeville, FLAAC, LAAC, its officers, director and agents from any and all liability stemming from any use of the Artist’s work in any of the ways above.Please check the checkbox below to acknowledge you agree to the rules above.(Required) Yes, by submitting this reservation form, Applicant acknowledges they will agree to abide by all rules set forth therein. Total Please verify statement below:(Required) I understand I will be taken to Pay Pal where I can pay by Credit/Debit Card or with a Pay Pal Account. You may need to scroll down on the PayPal page to see the button to pay with Credit/Debit Card. CAPTCHA