2001 Lesbian Variety Show Weekend &"I Got This Way From Kissing Girls 15th Year!!"

(Applications DUE October 19th)

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Contact Information

Your Email Address
Artist Name
Street Address
City	State Zip Code
Phone Number(Day)	(Eve)

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Art Information

Number of pieces, brief description, whether two or three dimensional, their sizes, and your medium

(describe)

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Releases

May we have permission to use your name in media coverage, advertising, general publicity or on the Kissing Girls website?Yes No

May we have permission to use a photograph of you or your art in media coverage, advertising, general publicity or on the Kissing Girls website? Yes No

May we have permission to video tape your art for archival purposes only (not for sale or reproduction)? Yes No

 

Do You define yourself as Lesbian?Yes No

Age:

Race(s)/Ethnicity:

Differently Abled:Yes No

Please describe (include information about any assistance you might need in order to help make your Lesbian Art Show participation easier).

(describe)

Are you a past Lesbian Art Show participant? Yes No

If yes, when:

(describe)

 

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Important Dates: This application is DUE BY October 19th.

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Submit: Thank you for applying to the Lesbian Art Show.