Registration Form

SEA IRIS DANCE ENSEMBLE & ST. CATHERINE OF ALEXANDRIA YOUTH MINISTRY present: free ways art exhibition and reception
artist registration
Name:
Date of birth:	Email:		Phone:
Current address:
Title of Art Submission #1: Title of Art Submission #2:
You are allowed to submit up to two pieces of art. Please explain what inspired each work of art below in 4-8 sentences:		Write a biography of 3 to 5 sentences.
Please initial beside each statement if it is true: I testify that the work I submit is my own original art work. I would like to be informed of future events that showcase young adult artwork in the Temecula area. If I am under the age of 21, an adult over the age of 21 will accompany me at the event.
Signature of applicant				Date
Signature of parent/guardian if artist is under age 21				Date