Linkage Community Artist Registration 2023
Welcome to Linkage! This form is for artists who were formally incarcerated to register for the 2023 Linkage Community. If you are interested in becoming a friend of Linkage or a Community partner, please fill out this form instead: https://forms.gle/baQX4Eb51HQro3Qf6 

Please help us make the Linkage Community work for you by filling out the form below by Friday, October 21, 2022. This form takes about 10 minutes to complete. If you would like to register over the phone, please leave a message at (734) 615-5643 and we will call you back. Feel free to reach out to pcaplinkage@umich.edu with any questions. 
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First Name *
Last Name *
Preferred Name
Artist Name
Address *
Address Line 2 (if needed)
City *
State *
Zip Code *
Primary Phone *
Additional Phone
Email 
Preferred Method of Contact (choose as many as you like) *
Required
Alternate Contact First and Last Name (someone we can contact if we can't reach you)
Relationship to you
Alternate Contact Phone Number
Alternate Contact Email
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