Inspired Art - Artist Registration Form

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Thank you for your interest in being an artist for our Inspired Art event. Please go to http://bit.ly/InspiredArtArtists and look through the selection of poems. When you have chosen your poems please fill out the information below. A SCORES staff member will be in contact with you to follow up and confirm your participation in this exciting event. If you have any questions please contact Brittney at brzucidlo@americascorescleveland.org.

First Name *

Last Name *

Address (Street, City, State and Zip Code) *

Cell-phone Number: *

Email: *

Website:

Facebook link or Username:

Twitter handle:

Instagram Handle:

I would like my contact information posted on the Inspired Art Cleveland communications: *

Yes

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