Guest Artist Application


Chalk It UP! Prescott  is a free, family- friendly and community centered event intended to cultivate and support the creativity in people of all ages and abilities while raising funds for the mental health, crisis intervention and substance use treatment services supported by the West Yavapai Guidance Clinic Foundation.  The 10th annual event is on

April 21 & 22, 2018 from 10 am to 4 pm

Thank you!



Please complete this application and click SUBMIT to send it to Chalk It UP! Prescott.  Sending an application does not imply automatic acceptance. Space is limited.  The application deadline is February 1, 2018.  Selected artists will be notified by February 15th.  There may be benefits given to guest artists based on sponsorship funding.  You may choose to mail or email additonal information or a resume in addition to this application.



Please email 2 photos of your recent work to WYGC Foundation Development Assistant David Lawrence at by the application deadline (February 1, 2018).


All artwork must be appropriate for public viewing of all ages.  No words or symbols intended as advertising may be used in the image, unless approved prior to the event.  Only water soluble chalk pastels may be used; no acrylic paints or fixatives are permitted.  Artists will be given a box of chalk for use; we encourage you to bring extra of any predominate color needed for your image.  Please sign your artwork.  CHALK IT UP! PRESCOTT reserves the right to take and use photographs for promotions and advertising.  NO CANOPIES.  West Yavapai Guidance Clinic Founation/Chalk It UP! Prescott assumes no liability for damage to property belonging to participant.


I, the undersigned, do hereby agree to allow the individual named herein to participate in West Yavapai Guidance Clinic Foundation/Chalk It UP! Prescott and I further agree to hold West Yavapai Guidance Clinic Foundation/Chalk It UP! Prescott harmless from and against any and all liability for any injury which may be suffered arising out of or in any way connected with participating in this activity.  I understand that West Yavapai Guidance Clinic Foundation/Chalk It UP! Prescott has no insurance for the participant's benefit.  I accept all terms and conditions set forth in the Artist Application.  The above information will only be used for artist application purposes.  I understand as an artist I will not be paid.  I give PERMISSION to the organizers and sponsors to use my artwork for promotions and advertising.


Electronic Signature
List any special needs, abilities or physical limitations:

Contact Information

State / Province*
Confirm Email*
Emergency Contact and Phone Number:
How did you hear about us?


Chalk It UP! Prescott, West Yavapai Guidance Clinic Foundation

Attention:  David Lawrence

3343 N. Windsong Dr.

Prescott Valley, AZ  86314

Email: or (928) 445-5211 x3635

You may choose to email additional information or a resume in addition to this application.

Additional Comments

Security Code

Share This Form

Powered by eTapestry.