Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Please read these Guidelines before submitting your entry. *

1. Set up display by October 1 2. Ensure QR code is visible! 3. Family friendly displays are encouraged 4. DO tell your friends and DO have fun! 5. Keep up display through month of October

I have read these guidelines.

By submitting this entry form,

I/we agree to HOLD HARMLESS, Main Street Vermilion and to comply with their Rules & Regulation.

I agree

Permission to Photograph

I/we also give our permission to Main Street Vermilion to photograph me/us as participants in All Washed Up and to use those photos in the organization's publications, social media and website.

I agree

I want to display at Main Street Vermilion, 685 Main Street

Yes

No, I will display at my location