Name *

First Name

Last Name

Phone *

(###)

###

####

Do you wish to paint your own piece, or create something for us to place in the community? *

If you're open to multiple options, select all that apply.

Option 1: You provide your own "canvas" (of any size) which belongs to you.

Option 2: We provide a 4' x 4' birch panel which we place in the community.

Option 3: We provide a 4' x 8' birch panel which we place in the community.

Other: Please specify in the Additional Comments field.

Could you provide your own canopy tent? *

Yes

No