APPLICATION FOR Year 2000 Design Competition

PLEASE PRINT OUT THIS FORM, COMPLETE IN FULL AND ATTACH TO BACK OF ARTWORK

The Bridge Run and The Charleston Running Club will exercise reasonable care
of all entries between drop-off time and pick-up, beyond which they cannot be
held liable for damage or loss. Any and/or all entries may be reproduced for purposes of publicizing this contest and/or the Cooper River Bridge Run. I certify that this is my original work and
that if selected this entry becomes property of the Bridge Run , which will
retain possession and all legal rights to the artwork selected, including all
reproduction and photographic rights, with credit for the artwork being given
to the artist in all accompanying materials. Signature must be included.
SIGNATURE__________________________________________
if under 18, your age_________
parent or guardian signature:______________________________
NAME________________________________________________
ADDRESS____________________________________________
CITY_______________________STATE______ZIP_____________
PHONE(d)____________________(n)_________________________
E-MAIL_______________________________________________