*Located on the campus of the Shell Point Retirement Community, Tribby Arts Center is a new regional hub of creative and cultural activity that is home to theatrical, educational, artistic and musical programming.

Winners Circle 2025

ARTIST REGISTRATION FORM

All responses are required. No changes or additions will be accepted after submission of this form.

Artist Identification

Artist First and Last Name

Affiliate Member Organization

Award Won

When Award was Received

From Where Award Received

Artist Mailing Address

City

State

Zip Code

Artist Phone in format 1+ Area Code + Phone Number

Use format 1+Area Code+ 7 digit telephone number

Artwork Identification

Title of Entry

Medium, Materials Used

Exhibition Agreement Acceptance

I have read and accept the terms outlined in the Exhibition Agreement

Date Exhibition Terms Accepted

Please validate your artwork was approved by your art association for the Winners Circle Show before submitting your entry. No refunds will be made for entries submitted in error.

Winners Circle Entry Fee Payment

WINNERS CIRCLE ENTRY FEE$50

Your entry is complete only after your entry fee has been successfully paid. Please continue through checkout to finish your application.