Washington County Artists Registration Form

Contact Info

Name*

First Last

Email*

Phone*

Website

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Town/City of Workplace or Business

Your Studio

Studio Name (if applicable)

My studio address is the same as my home address

Studio Address (if applicable)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Contact Info for the Registry

Which of the following may we list in the registry?*

Please check all that apply. You must select at least one item.

Home Address
Studio Name
Studio Address
Email Address
Phone Number
Website

Your Work

Type(s) of Work*

Please select the categories that best describe your work. Check all that apply. You must select at least one item.

Painting
Drawing
Sculpture
Ceramics
Fiber
Glass
Photography
Other

If You Selected "Other" as a Type of Work, Please Specify:

Photos of Your Work*

Please submit 3 photos of your work. Photos will not be published without your permission (check box below if you would like to give consent for online publication). Only 3 photos will be published. Please do not attach additional photos. Allowed file extensions: jpg, png, pdf

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.

I give Johnson City Public Art my permission to publish the attached photos along with my selected contact information in the online Washington County Artists Registry

Washington County Artists Registration Form

Request a Listing in the Washington County Artists Registry!