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Name:
_________________________Date: __________
Address:
______________________________________
Email:
________________________________________
Phone: ________________ Cell Phone: _____________
Visual Artist Medium:
________________________________
Drama ___ Music____ Dance____ Photography___ Literary____
Other__________________
Available
for the following:
Commissioned Work: Yes_____ No_____
Workshops: Yes_____ No_____
Lectures: Yes_____ No_____
Artist Demonstrations: Yes___ No___
Portfolio____ Resume_____ Letter of Intent____
Days available: ________________ Times: ___________ |