2. 
4. ARTIST REGISTRATION FORM
6. Thank you for participating!
   If you plan to submit an art piece for Benbrook's "Art on the Fly" exhibit, you MUST complete this registration from, which assists staff in managing the program, and makes you eligible to receive your FREE copy of Images of America: Benbrook!
8. Things to Know:
   There is NO fee to enter. Benbrook residency is NOT required, but work must be inspired by Benbrook's aeronautic history. Children ages 12 and under must be registered by a parent, guardian, or other responsible adult. Participants may submit up to two (2) art pieces, but must register separately for each submission. To be considered for the exhibit, you must register by Friday, Sept. 18, and your work must be submitted by Wednesday, Sept. 30, 2020. Once registered, you will receive information on how to submit your work. Good Luck!
10. Count me in!*

    1. I plan to submit a piece.

    1. I am registering for a youth.
12. Date I plan to submit artwork
13. Just give us an idea; we won't hold you to an exact date. Thank you!
15. Artist's First Name*
16. Artist's Last Name*
18. Parent/Guardian/Adult Information
    If you are over age 12, you may skip this box. If you are registering a youth, please provide your name and relationship to the child here.
20. Phone Number*
21. Email Address*
23. Address1*
25. City*
26. State*
27. Zip*
28. Apt #
30. Click here if you would like to receive a copy of the book "Images of America: Benbrook." The book is FREE and there is no charge for shipping.

    1. Yes

    Note that the book will be mailed to the address provided above. (Available while supplies last.)
32. Need help?
    If you need assistance in registering or submitting artwork, email econdev@benbrook-tx.gov or call 817-249-6990.
34. More questions?
    Read the Artist and Event FAQs
36. Thank you for registering!
    To complete your registration, please click the "Submit" button below. Afterward, you will receive a confirmation notice. A separate email with instructions for submitting your artwork will be sent later. PLEASE NOTE: Submitting a work does not ensure it will be included in the outdoor exhibit.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field