Artists Form

Personal Details
Name

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

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

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25 words left
Location
Contact Details

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

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How did you hear about the Global Assembly *

Select all that are appropriate

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