Quilt Registration

Please read all the information on the Quilt Entry Information page before completing this form.

I hereby agree to hold harmless the Coburg Quilt Show, Coburg Community Grange, and the City of Coburg, the drop-off/pick-up sites as well as any commercial enterprise taking part in the 2016 Coburg Quilt Show for any damages, loss or theft occurring to any quilt(s) entered in the show. I understand the show is outdoors and that the quilt committee will take all reasonable precautions to care for my quilt(s). The committee also has the right to show the quilts in the area they deem best and reserve the right to refuse any quilt that is not suitable to the event. I hereby give permission to the Coburg Quilt Committee to photograph my quilt(s) for use in promotional and fundraising events at the discretion of the committee.

Thank you for your submission(s). You will be receiving a confirmation from Judy at coburgquiltentries@gmail.com. If you do not receive confirmation within 48 hours or have questions on quilt entries or the entry form, please contact Judy at (541) 342-4710.

PLEASE BE SURE TO CLICK THE "SEND" BUTTON TO SEND YOUR REGISTRATION.

A copy of your registration will be emailed to the email address provided on this form.

Your Name*

Your Email*

Mailing Address*

City, State, Zip*

Phone Number*

Total Number of Quilts to be Entered

**If you're submitting multiple quilts, fill out all information on all quilts before submitting the form**

Quilt 1

Quilt # *

Quilt Title *

Quilt Maker Name *

Quilt Owned By *

Quilted By *

Quilt Size (measure in inches width by length) *

The year the quilt was completed

Tell us your quilt's story. What was your inspiration, pattern used, fabrics...100 words or less.*

This information will be printed and attached to your quilt.

Quilt Details *

Is this quilt for sale?*

Is the quilt for sale made using licensed fabrics?*

The list price for this quilt will be

My quilt has a four-inch (4") sleeve. If not, please arrange for one to be applied before bringing it to the show. *

Please describe in 10 words or less the quilting method(s)used. example: embroidery/top stitch/hand stitched/machine quilted

Is the quilt made by a youth (16 and under)?

Quilt 2

Quilt #

Quilt Title

Quilt Maker Name

Quilt Owned By

Quilted By

Quilt Size (measure in inches width by length)

The year the quilt was completed

Tell us your quilt's history for our program. What was your inspiration, pattern used, fabrics...100 words or less.

This information will be printed and attached to your quilt.

Quilt Details

Is this quilt for sale?

Is the quilt for sale made using licensed fabrics?

The list price for this quilt will be

My quilt has a four-inch (4") sleeve. If not, please arrange for one to be applied before bringing it to the show.

Please describe in 10 words or less the quilting method(s)used. example: embroidery/top stitch/hand stitched/machine quilted

Is the quilt made by a youth (16 and under)?

Quilt 3

Quilt #

Quilt Title

Quilt Maker Name

Quilt Owned By

Quilted By

Quilt Size (measure in inches width by length)

The year the quilt was completed

Tell us your quilt's history for our program. What was your inspiration, pattern used, fabrics...100 words or less.

This information will be printed and attached to your quilt.

Quilt Details

Is this quilt for sale?

Is the quilt for sale made using licensed fabrics?

The list price for this quilt will be

My quilt has a four-inch (4") sleeve. If not, please arrange for one to be applied before bringing it to the show.

Please describe in 10 words or less the quilting method(s)used. example: embroidery/top stitch/hand stitched/machine quilted

Is the quilt made by a youth (16 and under)?

Quilt 4

Quilt #

Quilt Title

Quilt Maker Name

Quilt Owned By

Quilted By

Quilt Size (measure in inches width by length)

The year the quilt was completed

Tell us your quilt's history for our program. What was your inspiration, pattern used, fabrics...100 words or less.

This information will be printed and attached to your quilt.

Quilt Details

Is this quilt for sale?

Is the quilt for sale made using licensed fabrics?

The list price for this quilt will be

My quilt has a four-inch (4") sleeve. If not, please arrange for one to be applied before bringing it to the show.

Please describe in 10 words or less the quilting method(s)used. example: embroidery/top stitch/hand stitched/machine quilted

Is the quilt made by a youth (16 and under)?

Quilt 5

Quilt #

Quilt Title

Quilt Maker Name

Quilt Owned By

Quilted By

Quilt Size (measure in inches width by length)

The year the quilt was completed

Tell us your quilt's history for our program. What was your inspiration, pattern used, fabrics...100 words or less.

This information will be printed and attached to your quilt.

Quilt Details

Is this quilt for sale?

Is the quilt for sale made using licensed fabrics?

The list price for this quilt will be

My quilt has a four-inch (4") sleeve. If not, please arrange for one to be applied before bringing it to the show.

Please describe in 10 words or less the quilting method(s)used. example: embroidery/top stitch/hand stitched/machine quilted

Is the quilt made by a youth (16 and under)?