Mailing Address *

If one of the fields does not apply to you, please place a double dash (--).

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Participation Type *

Please indicate whether you will be staying on site as a resident or participating without accommodation.

Resident (with accommodation)

Non-resident (no accommodation)

Sleeping Accomodation *

Standard residency accommodation fees apply. Please see our residency page for details: https://www.artslettersandnumbers.com/artist-residency

Private Room (House)

Shared Room (House)

Private Room for Couples

Private Room (Inn)

Shared Room (Inn)

What is your experience with 3D pens? *

Never used

Have used before

Use them often and consistently

Participant Liability Waiver *

By clicking yes in the box below you agree that you have carefully read the Participant Liability Waiver on this page, and understood that you are responsible for yourself and your actions in the Artist Residency Program.

Yes, I agree

No, I have concerns about this