Full Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Birth

(only if under 21)

MM

DD

YYYY

Is your work:

Outdoor - Foreshore Display

Indoor - Smalls Display

Will your work be illuminated?

Yes

No

Is your sculpture for sale?

Yes

No

Do you require power from LLS?

Yes

No

Will you provide your own lighting?

Yes - tag tested

No

Do you require LLS lighting? (Not eligible for Illumination Award)

Yes

No

Preferred Install Day

Wednesday 1 April

Thursday 2 April

Do you require use of the crane (HIAB) on Wednesday?

Yes

No

Tick any you’d like to be considered for

Major Award ($10,000)

Illumination Award ($5,000)

ANU Residency

Waste to Art ($1,500)

Environmental Awareness ($2,500)

Snowy Monaro Region ($2,500)

Encouragement Award

People’s Choice – Night (illuminated)

People’s Choice – Day (non-illuminated)

Youth Award (Under 21 only)

School Award

Will you attend the Opening (Friday 3 April)?

Yes

No

Would you like to volunteer during the exhibition?

Yes

No

Entry Type

Single - $40

Multiple - $80 (seperate forms required for each entry)

Checkbox *

I have read and accept the Terms & Conditions

I accept responsibility for my artwork, including safety and installation

I consent to LLS using images of my work for event promotion

I agree to the 25% sales commission on any sold works