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* 1. Contact Information 

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* 2. What are your preferred pronouns? (she/her, they/them, he/they, etc.)

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* 3. Which of the following best describes the type of art you are submitting?

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* 4. Would you like to list your name on your art piece?

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* 5. What is the name/title of your artwork?

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* 6. How will you be submitting your art? 

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* 7. Does the Tarrant County HIV Administrative Agency have consent to share your artwork?

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