Postmark Date:  ______________
 Registration # :  ______________

QUILT REGISTRATION FORM - Please print legibly in black ink.

Name (individual or group): ______________________________________________________
 
Address: _____________________________________________________________________
 
____________________________________________________________________________
 
Phone: ________________________(day) ________________________(evening)
 
E-mail address: ______________________________________________
 
Name of Entry: ________________________________ Year Completed__________________
 Size: _________" wide X __________" long    Value for insurance purposes: ____________

Does your quilt have a unique design/color on the back? Describe _______________________________

_________ Yes! Enter my quilt in the “2001: A Quilt Odyssey” theme contest. Enclosed is a
4 X 6” photograph of my first or an early quilt and a brief statement of my quilt odyssey

Category (Check each that applies. Refer to instruction sheet for description of categories):

Technique

 

Type

Quilting

_______Pieced   _______Bed quilt _______Hand
_______Applique   _______Wall hanging _______Machine
_______Mixed   _______Youth (your age________)

_______Tied (must be
a beginner or
youth quilt or
crazy quilt)

_______Other   _______Beginner (1st or 2nd quilt you made)  
  _______Group (2 or more quilters)    
  _______Crib quilt/throw    
  _______Clothing    
    ______ Miniature    

Describe your quilt for the catalog (If you are entering the theme contest, please include an explanation
of how your quilt fits the theme):
______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

To Page Two of registration form