Art Prize Entry Form » Kimberley Art and Photographic Prize

Artist/Photographer’s Name *

Art Cente (if applicable) Address

Suburb/Town/Community*

Postcode *

Phone*

Email Address*

Do you Identify as Aboriginal or Torres Strait Islander?*

YesNo

Title of Entry*

Description of Artwork (max. 100 Words)*

Measurements (height, width, length in mm and weight in kg)*

Category (You can only enter in 1 category)*

Paintings
Works on Paper
Mixed Media
Aboriginal Art
Boab Nut
Emerging Artist
Youth (Under 18)

Sale Price*

Sales Details

I require this piece to be marked "NOT FOR SALE" as it needs to be submitted for an educational assessment

Auction Price*

Auction Details

I require this piece to be marked "NOT FOR AUCTION".

If your Artwork is sold throughout the exhibition or auction, we will send you a Creditor Form to the email provided to proceed with your payment.

Please contact us if you haven't received the form before August 2024.

Drop Offs*

Pick Ups*

Entry Fee*

Adult (18+) - $50
Concession - $44.50
Youth (Under 18) - $16.50
Boab Nut - $10

I require the Shire to install a hanging system for me - $25

YesNo

Entry Payment - No entry will be accepted until full payment is made

In Person	Bank Transfer
At the Shire’s Administration office in DERBY or at the FITZROY CROSSING Visitor’s Centre	BSB: 016-620 Account: 421105556 Reference: KAPP (your surname)

In Person

Bank Transfer

At the Shire’s Administration office in DERBY or at the FITZROY CROSSING Visitor’s Centre

BSB: 016-620

Account: 421105556

Reference: KAPP (your surname)

Declaration*

I declare the entry to my own original work and submit it accordance to the Terms and Conditions of entry which I have read and understandI declare I am an agency that has been authorised by the artist to enter the work piece into the Kimberley Art and Photographic Prize and that I have read and unterstood the T&C

Artwork Label*

I understand that I must attach the Artwork Label to the entry.

Artwork Label here

Please Sign WithYour Full Name*

Date*

Submit an Entry

Entrant Details

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