HOPES & DREAMS ENTRY FORM

Please submit the following form with each quilt donated.

Name:_________________________________________________

Guild or Shop:___________________________________________

Are you a professional longarm quilter?______________________

Phone:_________________________________________________

Address:_______________________________________________

City:_____________________________State_______Zip________

E-mail:_________________________________________________

I have read and agree to the rules of the Hopes and Dreams Quilt Challenge/Quilt Contest. I understand that my quilt will become the sole property of H&DQC, and may be displayed and/or photographed, and used in any way the H&DQC deems appropriate.

Signature:_______________________________________________

Many ALS patients battle this disease alone, with little or no family support. They will be thrilled to receive your quilt and to learn a little about you – their thoughtful and generous quilter and friend. If you would like - please write a message for ‘your’ patient, to be presented with your quilt:

Please feel free to pin/attach to your quilt a longer letter about yourself. Your ALS patient will love it!

My name and address may be provided with my quilt to an ALS patient

Do not provide my name and address to an ALS patient

Mail your finished quilt to:
Hopes and Dreams
Quilt Challenge for ALS
c/o Quilters Dream Batting
589 Central Dr
Virginia Beach VA 23454