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2. Your Name (As it will appear on your official citation)*
4. What type of Artist are you? *
   -- Select One --Visual ArtistPerforming ArtistLiterary Artist
6. Email*
8. Home Address with Zip Code (This is where your official citation will be mailed to)*
10. Phone Number*
12. Your High School *
14. Your Artist Bio (This is what we will include in your virtual gallery listing). Please be sure to include any awards, honors, history, experience, future plans that you would like included: *
16. If you are a performing artist, please upload a video of yourself performing that you would like to be featured in your gallery

    (Please share something that is family friendly as this will be a public gallery)

18. If you are a visual artist, please upload up to three images that you would like featured in your gallery

    Due to the very public nature of this gallery, please share family friendly images of your art work. We ask that you do not share images that contain nudity. 

20. If you are a literary artist, please upload up to two literary pieces you would like shared in your gallery

    (Please share something that is family friendly as this will be a public gallery)

    
    

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field