Name *

First Name

Last Name

Phone *

(###)

###

####

Quilted by *

First Name

Last Name

Category - Check one *

Pieced

Applique

Mixed

Miscellaneous

Art Quilt

Modern Quilt

Member Challenge ('Your Initial Challenge')

Quilt Made by a Child (Note Name/Relationship below.)

I would like my quilt to be judged for a $5 judging fee.*** (Fee will be collected at July and August 2025 meetings. Please bring cash/check.) *

YES

NO

This entry was quilted by me on a domestic machine. *

YES

NO

This entry was quilted by me on a longarm. *

YES

NO

This entry was hand-quilted by me. *

YES

NO

This is my first entry, in an FCQ Quilt Show. *

YES

NO