Art & Artifacts Fair/Historical Bike Ride

May 16, 2015 Help us celebrate May Preservation Month by participating in the Lee’s Summit Art and Artifacts Fair & Historically

Themed Bike Ride Saturday, May 16, 2015, in the City Hall Lobby from 11 a.m. - 2 p.m. The ¼ mile bike ride will begin on

the south side of City Hall on 3rd St. at 1:45, and end at the new Lee’s Summit Historical Society Museum located at 220

SW Main St. The event is sponsored by the Lee’s Summit Historic Preservation Commission , in partnership with the

Lee’s Summit Historical Society.

Share the history of Lee’s Summit’s 150th Birthday by displaying your memories with photographs or artifacts. Items will be on display May 16 during the Art & Artifacts event, held in conjunction with the City’s Equipment Show and opening of the Centennial Time Capsule!

Bring your items with a completed entry form and waiver form to City Hall during the business hours 8 a.m. to 5 p.m. weekdays by May 8, 2015. Items may be picked up by appointment through Ron Seyl (816-969-1603). There is no limit on the number of historic artifacts to submit.

Or, pull out your bike, including those vintage bikes! Kids are encouraged to decorate their bikes. Adults dress as your favorite historical era or character and show it off as you ride downtown to the Lee’s Summit Historical Society Museum from 1:45-2:00 p.m.

ARTIFACTS Entry Form

ARTIFACT NAME (Submit one form per item): AGE OF ARTIFACT (if known):

OWNER’S NAME and ADDRESS:

OWNER’S PHONE: OWNER’S EMAIL (if available):

DESCRIPTION OF ARTIFACT: Include historical significance, personal significance, age, and how you obtained the item. Attach additional sheet(s) as necessary. PHOTO ATTACHED Yes No

WILLING TO DONATE THIS ITEM TO HISTORICAL MUSEUM? Yes No Maybe

Return Entry forms with waiver form for the Art & Artifacts by May 8, 2015 for consideration.

BIKE RIDE Entry Form

BIKE RIDER’S NAME (Submit one form per rider): ADDRESS:

PHONE: EMAIL (if available):

Entry form with waiver form for the Bike Ride is due at the time of the event. Pick up forms at City Hall or download at LSPlanning.net.

Date filed: Received by: Entry #

2015 LEE’S SUMMIT ART AND ARTIFACTS FAIR

CONSENT TO PARTICIPATION, WAIVER AND RELEASE

I ___________________________ hereby consent to participation in the 2015 Lee’s Summit Art and Artifacts

Fair (hereinafter “the Fair”) hosted by the Lee’s Summit Historic Preservation Commission, in partnership with

the Lee’s Summit Historical Society. I certify that I am the rightful, legal owner of and am entering the

following art and artifacts item(s) in the Fair:

_______________________________________________________.

I understand that my entry of these items is voluntary. I further understand that by entering the above item(s)

in the Fair that I am assuming all responsibility and liability for loss, damage, or injury which may occur to said

item(s) or me as a result of participation in the Fair.

I understand that I may be asked to relinquish custody and control of said item(s) to a member or members of

the Lee’s Summit Historic Preservation Commission, the Lee’s Summit Historical Society or the City of Lee’s

Summit, and I hereby give my consent for said member or members to take custody and control of said

item(s) for the duration of the Fair, beginning at the submission of my application for participation. I

understand that I am responsible for retrieving said item(s) by 5:00pm, Monday, May 18 th, 2015 at City Hall.

I hereby agree to release and hold harmless the Lee’s Summit Historic Preservation Commission, the Lee’s

Summit Historical Society, and the City of Lee’s Summit, as well as their officials, agents, employees,

predecessors, successors, supervisors, insurers, volunteers and subdivisions from any and all liability, actions,

claims, demands, or suits whatsoever, which I may now or hereafter have, on account of or arising out of any

damage to the aforementioned item(s), injuries, or damage to any right, including loss of time, services,

income or society during the course of my participation in the Fair, including any time when the

aforementioned item(s) may be in the custody or control of the Lee’s Summit Historic Preservation

Commission, the Lee’s Summit Historical Society, the City of Lee’s Summit and their members.

My consent to participation in the Fair as well as the promises contained herein are voluntary and made of my

own accord.

____________________________________

Participant Signature

___________________ Date ____________________________________ Printed Name