Membership Application Fields marked with an asterisk ( * ) are required. Name* First Last Group or Business NameAddress* Street Address City Postal Code Phone*Email* Website Membership Type*IndividualFamily (one address)Group / BusinessArts Category* Visual Literary Music Theatre Fine Arts* Painting Pottery Sculpture Mixed Media Photography Jewellery Metal Arts Wearable Art Decorative Art Leather Work Other I would like to be included in the Arts Directory on the website*Please send labelled images of your work, your biography and indicate what contact information you would like to use. i.e. email and/or phone, website, etc. Yes Image UploadSend us up to 4 images and PLEASE label them with the title of the artwork and your name i.e. Rolling Hills by Jane Doe OR Image 1 by Jane Doe, etc. Drop files here or Accepted file types: jpg, png. BiographyTell us a little bit about yourself or your group.I would like to receive the ArtSea newsletter*Please go to the website and sign-up Yes I would like more information on being a volunteer Yes Release & Consent AgreementFreedom of Information (FOI) Legislation requires organizations to receive permission to publish Members information, as provided on this form, in the organization’s annual records. I hereby give permission to ArtSea Community Arts Council to use the information I've submitted on this form including first name, last name, website address, photos, email address, bio, and any other content I have included here. I hereby authorize the ArtSea Community Arts Council to edit, alter, copy, exhibit, distribute and publish in print, video, audio recorded productions, and on the World Wide Web this material for purposes of publicizing ArtSea Community Arts Council programs or other lawful purpose without payment or any other consideration. By checking 'I Agree', I understand that: * The materials will be used only for nonprofit/educational purposes. * The above-named individual/organization will not release the materials to any other nonprofit or commercial entity without seeking my permission. * Any proceeds from the sale of published or printed matter containing the materials will be used to support the mission of the above named nonprofit organization. (if applicable) * The materials will become the property of ArtSea Community Arts Council, stored in a place chosen by ArtSea Community Arts Council and will not be returned to me. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. I waive any right to royalties or other compensation arising or related to the use of the materials. I hereby hold harmless and release and forever discharge ArtSea Community Arts Council from all claims, demands, liability and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release. In addition, I would like to specify the following conditions for use of the materials:* I Agree to the 'Release & Consent Agreement' This iframe contains the logic required to handle Ajax powered Gravity Forms.