Walk For The Arts, May 14th

from 8am to 12noon!

n An opportunity for arts orgs to raise funds for own cause
n Enjoy live music, dance and theatre throughout the route
n Special hours for museums and galleries, plus free admission
n Participate in contests for best flair or team decorations
n Enjoy opening ceremony and finish line celebration with music and awards

PA R T I C I PA N T I N F O R M AT I O N ( E v e r y w a l k e r m u s t f i l l i n )

Name: ____________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
Phone Number: _________________________ E-mail Address: _____________________________________________________
o Supporter: $10 — Walk plus event t-shirt MY PLEDGE
Circle t-shirt size: S, M, L, XL, 2X (+ $5), 3X (+ $5) o I pledge to raise money for the Arts Council of Kern
Additional t-shirts $5 S ___, M ___, L ___, XL ___
o I pledge to raise money for this registered non-profit or school
$10 2X ____, 3X ___ arts program
o At the door: $10 (t-shirts not guaranteed after
April 29) __________________________________________________________
n Children under 10 are free.

N O N - P R O F I T O R S C H O O L A R T S P R O G R A M R E G I S T R AT I O N

o A $25 contibution will list your organization on the Arts Council Web site.
Organization Name: ___________________________________________________________________________________________
Address: _________________________________ Contact Person: _____________________________________________________
Phone Number: _________________________ E-mail Address: ________________________________________________________
Would You Like A Booth? o Yes o No
Please write a few lines of what Art Program you are raising funds for, so we can list on our Web site.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

n EACH TEAM PARTICIPANT INFORMATION FORM NEEDS TO BE SUBMITTED BY APRIL 29, TO GUARANTEE A T-SHIRT.

Mail completed form and make checks payable to: The Arts Council of Kern, 2000 K Street, Suite 110, Bakersfield, CA 93301.
You can also fax your form to the Arts Council of Kern at 661.324.1136 and you can pay online at kernarts.org.
For the most up-to-date information, go to kernarts.org or call 661.324.9000.

By filling out this form, I hereby waive all claims against the Arts Council of Kern (ACK) and event sponsors and personnel for any
injury I might suffer in this event. I authorize ACK or anyone authorized as a representative of ACK to use my name and/or any
photographs of me, which I have provided, or which are taken of me at the event, to promote or advertise any ACK event.