Registration Individual Artist Membership Application If you are registering as an Organization use the Organization Membership Application Form First Name * Artist Medium (select all that represent your work or suggest one that does)Creative Mediums: Acrylic Painting Acting Animation Arts School Programming Bird Carving Ceramics Certified K-12 Arts Educator Collage/Paper College/University Arts Educator Comedy Commercial/Film Acting Computer/Digital Media Costume Design Dance Drawing Enameling Fibers/Weaving Film/Video Glass Graphic Design Illustration Improvisation Jewelry Literary Arts Media Arts Metals Multi-Media Fine Art Murals Music Oil Painting Pastel Photography Printmaking randy's pick Recording Sculpture Set Design Sound Design Tattoo Teaching Artist Theatrical Lighting Voice Acting Watercolor/Gouache Wood Other (specify) Orgs/Business: Art Gallery Art School Art Studio Space Artist Employment Arts Advocacy Organization Co-Op Space Curator Dance School Drama School More pickens Music School Performance Venue Pottery/Clay School Public Art Theater Other (specify) Last Name * Public Name (if different than your name above) First Name Last Name Affiliation or Studio or Business Name (if applicable) Email * Phone * Website Below, enter a password to enable you to update your profile at MoorestownCreates.org. Your email address will be your username. Password * REMEMBER THIS!!! Artist Statement Artist Bio Your Private Address (MANDATORY: only used for US Postal communications to you from MoorestownCreates.org) Private Address 1 Private Address 2 Private City Private State Private Zip Add a Public Address (OPTIONAL: displayed on website) Check if same as Private Address. Address 1 Address 2 City State Zip Check here to indicate you understand and agree with the exclusive use of this website (Required): "I understand and agree that this registration is for the exclusive use by an artist and/or non-profit/commercial enterprise located and/or doing business in Moorestown, New Jersey.:" Check here to indicate you will abide by the code of conduct (Required): "I understand by submitting my information to this directory I agree to adhere to the expectations that all information and imagery will not be considered objectionable to the general public. Language or imagery that is abusive, violent, offensive or depicting nudity is not permitted and will result in removal from the directory." Add your photo/logo ( Optional - 10MB Size Max.): Only JPG, JPEG, PNG or GIF.