Please type in your information, then use the print function of your browser (Ctrl+P) to print the form, sign it and mail it to us.

FOUR CORNERS ARTS CENTER
3852 MAIN RD TIVERTON FOUR CORNERS, RHODE ISLAND 02878
(401) 624-2600

Name:

Mailing Address:

City: , State: Zip Code:
Telephone:

Email:

Name of Piece:

Location that the photograph was taken:

Your background (Optional):

     By signing entry form, you acknowlege and agree to follow all of the rules and regulation as well as all of the terms and conditions. If you are not 18 years of age or older at the time of the submission, you must have a parent or gardian sign the form. That the photograph you present to the jury is that of your own hand and mind and is not violating any law of copyright. That the Art Center or the Meeting House or any subsidiaries or affiliates are not responsible for loss or damage caused to or by photographic work that is entered. All jurist's decisions are final and cannot be contested.

Signature: _____________________________