Emerging Artist Registration Form

By signing this form the responsible party:

(1) Binds each person participating in the activity under the authority of this entry form to hold harmless from liability, Albia Restoration Days Committee, Albia Chamber Main Street, Monroe County Arts Council, the City of Albia, Monroe County, IA, their officers, members, designated officials, volunteers, agents, and against any and all claims, losses, injuries, suits and judgements arising from, or in conjunction with its successors, assigns, heirs, executors and administrators, and any other persons or entities who/which may have a claim based on my/our personal injuries and/or property damage, personal injury, or death arising from participation in the Albia Restoration Days.

(2) The organization or individual named on this application irrevocably grants the Albia Restoration Days Committee, Albia Chamber Main Street, and the Monore County Arts Council rights to use in any media, our name, likeness, photos, our submitted work or reproduction of our performance or work for any purpose including promotion, advertising, or otherwise; and

(3) Agrees to provide each person participating under the authority of this entry form with a copy of this Disclaimer/Release of Liability.

(4) In the case of cancellation due to circumstances outside of the control of the Albia Restoration Days Committee, expenses and/or sponsorship fees will not be reimbursed.