Live Arts Portal: Artist Membership Form

1. Company Name
2. Booking Contact Name
Address
City
Province
Postal Code
Email
Web site
Phone
Alternate Phone
Fax

Please select the Alberta region(s) you tour to:

Northern Edmonton Area Central Calgary Area Southern

3. Please select the MAIN CATEGORY you wish to be listed under: (Please only select one in this category.)

Visual Arts Multimedia Film Drama
Music Literary Dance Other (specify):

Do you wish to be cross-referenced in another category?
Please select as many as apply:

Visual Art Multimedia Film Drama
Music Literary Dance Other (specify):

4. Please provide a brief artist / company description(i) for the online artist directory (100 words or less):

5. Please provide a brief PROGRAM description of the work you bring into schools (100 words or less):

6. Please list the length of your performance(s) and/ or residencies:

7. Please list the number of students you perform to or work with:

8. Please list the grade level(s) that your work is appropriate for:

9. Please select the subjects your work relates to:

English Language Arts	Science
French Language Arts	Social Studies
Mathematics	Health / Career and Life Management
Physical Education	Information and Communication Technology
Other (specify):

10. Please list all LANGUAGES you work in:

English	French
Other(s) (please specify):

11. Please provide the range of FEES for your performances and/or residencies:

12. Please detail the technical requirements for your performances and / or residencies:

Please submit this form at this time.
You will be taken to Step 13 (Support Materials)
and Step 14 (Payment Information)
on the next page.

(i)Please note that all information is solicited in accordance with Freedom of Information Protection Act legislation and is intended for inclusion in the Live Arts Portal on-line artists’ directory. By submitting membership and directory information to the Arts Touring Alliance of Alberta, you are agreeing to the posting of this information in the public domain. All submissions will be edited for content/ audience suitability.

 

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