RILA | Latino Artist Directory Form

Latino Artist Directory Form

Please fill in the form below.
Your Name *
Name of Group (if applicable) *
Write n/a/ if not applicable
Contact Person *
Write SAME AS ABOVE if applicable
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Can we include your street address on our website? *

Yes No
Phone Number *

Area Code Phone Number
Can we include your phone number on our website? *

Yes No
Discipline or Category *

Dancer Graphic Designer Musician Painter Sculptor Theatrical Performer Cultural Group or Organization Dance Group Musical Group Theater Group Festival Local Latino Eatery Local Latino Organization Storyteller Writer Poet/Spoken Word Podcast Singer/Vocals
Description or Artists Statement: *
This section gives you the opportunity to tell a little about yourself, your training, your philosophy, whatever. Be sure to include your preferred terminology for the type of art you do. Be brief but don't cut yourself short from what you would like to say.
Do you charge a fee? *

Yes No
Do you consider yourself a Teaching Artist? *

Yes No
I am interested in mentoring an emerging artist? *

Yes No
I am looking for a mentor

yes no
How did you learn from us? *

Friend Event Internet
Attach a head shot or other photo of yourself

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Please send 6x4 or larger at least 300dpi Cancel of
Attach a group photo (if applicable)

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Attach a second photo (suggested)

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Attach a third photo (optional)

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Please send 6x4 or larger at least 300dpi Cancel of
Attach a fourth photo (optional)

Browse Files
Please send 6x4 or larger at least 300dpi Cancel of
I prefer to E-Mail my photo(s):

yes no
Enter the message as it's shown *
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