JOIN LADY BRAIN COLLECTIVE
NAME *
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CITY *
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STATE *
PREFERRED PRONOUNS *
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HOW ARE YOU ACTIVE IN THE LOCAL ARTS SCENE? *
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OTHER JOBS
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EMAIL ADDRESS (gmail preferred for access to shared database) *
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PHONE
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I CAN HELP WITH...
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I NEED HELP WITH...
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PRIMARY WEBSITE *
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SOCIAL MEDIA LINKS (FULL LINKS PLEASE)
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PREFERRED EMBED CODE FOR PUBLIC PROFILE (Spotify player, Soundcloud player, Youtube vid, etc.)
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LINK TO DOWNLOAD HIGH RES PHOTO
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5 THINGS I'M PASSIONATE ABOUT
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3 WAYS TO SUPPORT ME
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NOTES/OTHER
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HOW DID YOU HEAR ABOUT LADY BRAIN COLLECTIVE?
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IMPORTANT: By filling out this form, you are authorizing Lady Brain Presents to list you and the information you share in our private read-only member database for the duration of your membership. Only other active members will have access to this information. You can update/edit your profile at any time. Any abuse or unauthorized sharing of information in this database will result in termination of access to this database, and potentially, termination of membership.
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