Artists Form

Personal Details

Name

First Name *

Last Name *

Age

This form is not intended to collect the information of individuals under the age of 16.

Profession *

10 words left

Organisation (if applicable)

State the name of the organisation or the community you are representing

10 words left

Type of Organisation (if applicable)

25 words left

Location

City *

Country *

Contact Details

Email Address *

Phone Number

We will be only using your phone number if you wish to be contacted via phone.

What secondary channel you would like us to use for communication. *

Email is the primary channel of communication

Phone

Viber

Other

None

If you selected "Other" in the previous question, please tell us how do you prefer to be contacted *

25 words left

How did you hear about the Global Assembly *

Select all that are appropriate

Social Media

News Outlet

Other Media Outlet

Another member of your community

Other

If you selected "Other" in the previous question, please tell us how you heard about the Global Assembly

25 words left

Would you like to receive updates about the Global Assembly? *

Yes

No

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