ARTIST BRIEF – Geraldton Aquarena Entry Artwork Use this form to register your interest in the Geraldton Aquarena Entry Artwork. Save Your Progress You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address. Email Address: Password: There is no way to resend or recover your password, please write it down. Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response. Artist Details Artist / Group Name:*This field is required. Primary Contact Name:*This field is required. ABN (if applicable): Mobile phone:*This field is required. Address:*This field is required. E-mail:*This field is required. Website (if applicable): Are you a resident of the Midwest Region?*This field is required. YesNo Age Group*This field is required. Under 18*18 years and over *If under 18: I provide consent for my child to apply for this exhibition opportunity. Parent Name: Artwork Description Provide a brief description of the proposed artwork:*This field is required. Supporting Documents Please attach your proposed artist concept: Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional image 2 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional image 3 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload your CV*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx ARTIST BRIEF AGREEMENT TERMS ARTIST BRIEF - AGREEMENT TERMS Click to read the Agreement Terms. Have you read and accepted the Agreement Terms?*This field is required. Yes Type the code from the image: Get Audio CodeType the code from the image Save & Exit