2. First Name*
3. Last Name*
4. Phone Number*
6. E-mail address*
8. Address*
10. City*
11. State*
12. Zip*
14. Describe your exhibit*
    If item(s) are for sale, include a list of each piece and its price.
16. Requested Space for Exhibit (please check all that apply)*

    1. Display Cases
    2. Prefunction Area (by the first-floor bathrooms)
    3. Program Room #1
    4. Program Room #2
18. Requested Timeframe for Exhibit*
    Example: 6/1/2019 - 7/1/2019
20. Requested Day/Time for Set up:*
22. Requested Day/Time for Take down*
24. Online Signature*

    In consideration of your acceptance of this application, I hereby, waive and release any and all rights and claims for damages I may have against the City of Durango and its representatives, employees, successors for any and all damages, including theft that may be inflicted while artwork is on display at the Durango Public Library. I agree to abide by the guidelines, policies, and processes involved in exhibiting at the Durango Public Library.

    1. I agree, Electronic Signature
26. Electronic Signature*
28. Parent's Electronic Signature (if applicant is under 18 yrs)
30. Student's School (if applicable)
32. In accordance with the Colorado Open Records Act, this submission and all related correspondence may be subject to public disclosure.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field