Paint the Town Barrington! Registration Form 2021
Painting Dates: October 1 - 9, 2021 — Throughout the Village of Barrington
Submission of Paintings on Saturday, October 9, 3:00 - 5:00 p.m. at Barrington's White House, IL
Reception and Award Ceremony at 6:00 p.m., Barrington's White House
Paintings to be available for sale at Award Ceremony
Please send questions or requests to Clancy Potts at cpotts@barrington-il.gov
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Registration fee of $30.00 required with submission of this Registration Form.  Please click the link at the end of this form to pay online.  We also accept cash, checks payable to the 'Village of Barrington Cultural Commission', or credit card payments (in-person only).  Registration form and fee to be completed online (this form) or submitted to Barrington Village Hall, 200 South Hough Street, Barrington, IL 60010, by the deadline of October 1, 2021.  Registration is first come, first served and we will only be accepting 30 artists for this event.  
Full Name *
Physical Address *
Email Address *
Cell Phone Number *
Website; if applicable
AGREEMENT, WAIVER, AND INDEMNIFICATION
I hereby acknowledge and agree that I am an independent contractor and that I am neither requesting nor will I receive any compensation from the Village or from Barrington’s White House for my participation in any of the Paint the Town Barrington! events and I hereby accept the sole responsibility for any loss of, damage to, or theft of my painting(s), or of any other  personal  property, loss, or personal injury resulting from or  in  any  way associated with my  participation in any of the Paint the Town Barrington! events. I further agree to and do hereby waive, hold harmless, indemnify, and release the Village of Barrington and its elected and appointed officials, officers, employees, volunteers, and other agents regarding any claim, loss, suit, cause of action, liability or expense(s) arising out of my Plein Air painting activities and/or any other participation by me in the Paint the Town Barrington! activities and/or the exhibition of my painting(s) within the Village and/or at the Barrington White House on or about October 1 - 9, 2021. I also hereby agree that the Village and any event sponsors shall have the right to photograph and/or make other images of my works resulting from or related to my participation in the Paint the Town Barrington! events and activities for the purpose of and as part of the promotion of and/or marketing for future events of the Village and/or of the sponsor(s) of the Paint the Town Barrington! events and activities, and I hereby assign said rights to the Village and said sponsor(s) for such promotional and/or marketing purposes.  I hereby acknowledge that I have read and understand the foregoing Agreement, Waiver, and Indemnification.  
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