Inspired Art - Artist Registration Form

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Thank you for your interest in being an artist for our Inspired Art event on June 3rd, 2023 at 78th Street Studios. Please look through the selection of poems sent you. 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 us at info@americascorescleveland.org.

First Name *

Last Name *

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

Cell-phone Number: *

Email: *

Preferred Pronouns:

Website:

Facebook link or Username:

Twitter handle:

Instagram Handle:

TikTok Handle:

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

Yes

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