Application to Screen - Celebration of Creativity

Name*

First Last

Display Name

*If different from above

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Website

Facebook

Instagram

Medium(s)*

Please select all that apply.

Other Medium(s)

If you selected other, please list your medium(s):

Provide a brief description of your work including size, subject matter, and technique.*

Is your work original?*

Do you use any commercial patterns or kits?*

How is your work priced? (range in dollars)*

Where have you shown your work in the past?*

Galleries, exhibits, shows, etc...

We will schedule a group screening in August 2023. Would you be willing to submit examples of your work to be viewed by committee members?*

May we photograph your work for jurying purposes?*

May we feature your work on our website and/or social media?*