Merri-bek Summer Show Application Form

First Name *

Last Name *

Street Address *

Suburb *

State *

Postcode *

Email address *

Phone number *

Relationship to Merri-bek *

I am a resident of Merri-bekI base my studio practice in Merri-bekI study in Merri-bekI work in Merri-bek

Artwork title *

Artwork medium *

I acknowledge that my work was created in 2025, as per the Merri-bek Summer Show eligibility guidelines outlined in the application pack. *

Height (in cm) - Max 125cm *Please only enter numbers into this field

Width (in cm) - Max 125cm *Please only enter numbers into this field

Depth (in cm) or alternative dimensions - Max 125cmIf your artwork has variable dimensions or is made of multiple components, you can submit those details here. e.g. Rod: 100 x 2 cm. Blanket: 100 x 34 x 1 cm, etc.

Artwork price or Not for saleIf your artwork is not for sale, please write NFS. If you would like the price to be available on request, please write POR. If this field is left blank, the Counihan Gallery will assume your work is not for sale.

Describe how your artwork relates to the theme Love in Crisis (150 words maximum): *

Artist biography (150 words maximum) *If you have a website or social media profile, please include a link or social media handle in this field.

Do you need to be present for the installation of your work? *Please note that due to the high number of applications received, Gallery technicians will install your work unless you have special installation requirements.

Please specify your installation requirements, if applicable:You may upload diagrams or images to support these instructions in the next field, if required.

Please attach a high-resolution image of your proposed Merri-bek Summer Show artwork *

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You may also upload any further instructions for the installation of your artwork here (e.g. diagrams, installation shots), if required. To select more than one file, hold down the Ctrl key on your keyboard and click each file you wish to upload.

Do you identify as any of the following?Tick all that apply.

Check each box below if you would like to subscribe to the eNewsletter

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You can unsubscribe at any time.

Acnowledgement of key dates and conditions of entry

I have read the entry conditions as outlined in the Merri-bek Summer Show application pack and agree to abide by them.

I understand that inclusion in the exhibition is subject to a selection process.

I have checked that the personal and artwork details included on this form are correct.

I give permission to the Counihan Gallery to reproduce the artworks that I have submitted for publicity, advertising or archival purposes.

If you are accepted into the exhibition, you must deliver your completed work to the Counihan Gallery between 11am and 6pm, Wednesday 29 October or Thursday 30 October 2025.

At the end of the exhibition, you are required to collect your artwork from the Counihan Gallery between 11am and 5pm on Friday 19 December 2025, or between 11am and 5pm on Saturday 20 December.

If you can’t collect your work on these days, please arrange for someone to collect your work on your behalf.

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I have read the privacy statement in the application pack.

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