Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Method of Contact *

Email

Phone

Text

Do you have any experience with Art and Advocacy? *

(not required to participate)

Yes

No

I agree to be available for Load-In on November 4th, 2023 *

Yes

No

I understand that I will need to tear down my artwork at the close of the show on November 4th, 2023. *

Yes

No

I understand that selling my art is optional. I agree that upon selling my art, a percentage of the proceeds will be donated to Reintegra (percentage to be determined at a later date). *

Yes

No

I understand that the $20 application fee is non-negotiable *

Yes

No