Artist Application

Please print this form, complete, and mail to the address shown below.

Coyote Creek Studio Arts Foundation

PO Box 2108

Fairplay CO 80440

719-836-2040

Name:____________________________________________________________ BusinessName__________________________________________________________ Address________________________________________________________________ City_______________________________________________zip___________________
Home Phone________________________________cell___________________________
Medium(s) I will be displaying ________________________________________________ ________________________________________________________________________
I would prefer to be juried in person: : Yes __ No __
If yes, we will contact you with a time and date.
I have enclosed five photos of each medium I would like to display with a self addressed stamped envelope. I understand that one photo will be kept with my file.
1. I will be able to work one day a month and understand I will receive 70% of the retail price of my work sold: Yes __ No __
2. I will be able to work more than one day a month and understand I will receive 75% of the retail price of my work sold: Yes __ No __
3. I will not be able to work any days in the gallery and understand I will receive 55% of the retail price of my work sold: Yes __ No __
4. I am a jewelry student and know that I will receive 75% of the retail price of my work sold and can work one day per month: Yes __ No __
5. I am a jewelry student and am unable to work any days in the gallery and understand that I will receive 65% of the retail price of my work sold: Yes __ No __
I would be available for extra days working in the gallery if needed: Yes __ No __
I would like to sign up for ________________________committee.
I will have all work securely tagged with my retail price, ID# and inventory list when checking in: Yes __ No __
I understand I am responsible for my own insurance coverage for the art left on gallery premises: Yes __ No __
I have my own display materials: Yes __ No __
If yes, the display materials must be approved by our jury committee
My retail prices range from $_____________
I am a full time artist: Yes __ No __
I have been working in this medium for ____years.
I employ a staff in the production of my work: Yes __ No __
If yes, explain what your production staff does: _________________________________________________________________
Some parts of my work are manufactured: Yes __ No __
If yes, please describe what parts are manufactured:
__________________________________________________________________
My work is also represented in these shops/galleries (please list):

I, ____________________________________________,do hereby agree to the terms agreed upon listed above, and hold harmless Coyote Creek Studio Arts Foundation, it’s board members, and membership for any damage or loss of art work left at the gallery at 419 Front St. as well as any injury to myself while on the premises. I also understand any work left on the premises after thirty days notice to remove it will become the property of Coyote Creek Studio Arts Foundation.
Signature___________________________________________Date_______________