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Seekonk Art Network Registration Form
Please fill in the following information to be registered in the Seekonk Art Network Directory.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Business Name
Your answer
Email
*
Your answer
Phone
Your answer
Address 1
Your answer
Address 2
Your answer
City
Your answer
State
Your answer
Website address
Your answer
Preferred Contact Method
Choose
Email
Phone
Mail
Level of participation in the arts (select one)
*
Choose
Full time professional
Part time professional
Passionate Hobbyist
When there is free time
Student
Not an active artist, but have a strong interest in the arts
I MAY be interested in promoting the arts in Seekonk by (select all that apply)
*
Help to bring Seekonk artists together
Present a workshop, or demonstration for other artists
Work with emerging artists in town
Share my talent in the public schools or library
Work to promote a town artist exhibition
Monitor our website
I'm pretty busy right now, but I am interested in being a part of this group
Required
Area of interest or talent (select all that apply)
2 - dimenational work
3 - dimenational work
Culinary arts
Culture studies
Dance
Fashion design
Film/Video
Fine crafts
Graphic design
Human thought
Inter-disciplinary arts
Jewerly design
Landscape/architecture design
Literarty arts
Music
Nature
Photography
Quilting /Fabric
Sciences
Technology
Theater
Voice
Other:
Please add a 2 line bio telling others about your field of talent or interest.
Your answer
Questions or Comments
Your answer
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