Arts Tune-Up Registration - Whittier (5/02/2009)
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Please complete the following information to register for the Arts Tune-Up in Whittier on Saturday, May 2, 2009 from 10:00 AM - 1:00 PM. Thank you!
1
. First Name
First Name
2
. Last Name
Last Name
3
. Organization (if applicable)
Organization (if applicable)
4
. What city do you reside in?
What city do you reside in?
5
. What is your zip code?
What is your zip code?
6
. Telephone Number (i.e. 555-555-5555)
Telephone Number (i.e. 555-555-5555)
7
. Email Address
Email Address
8
. Indicate whether you are a:
Indicate whether you are a:
Student
Individual Artist
Representing a non-profit organization
Other (please specify)
9
. Please check which category (or categories) best describes what you do (if an individual artist) or the primary arts discipline(s) of the organization you represent:
Please check which category (or categories) best describes what you do (if an individual artist) or the primary arts discipline(s) of the organization you represent:
Music
Theatre
Dance
Visual Arts
Media Arts
Literary Arts
Design
Inter/Multi-disciplinary
Traditional and Folk Art
Presenter
Other (please specify)
10
. How did you hear about the Arts Tune-Up?
How did you hear about the Arts Tune-Up?
Los Angeles County Arts Commission
City of West Holywood
LA Stage Alliance
Arts for LA
Center for Cultural Innovation
LA Culture Net (Yahoo Group)
Emerging Arts Leaders/LA Network
Email
Word of mouth
Other (please specify)
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