Register "*" indicates required fields Person submitting information on this formYour Name* First Your Email Password* If our readers are curious about learning more about your initiative, who should we name as a contact person?Main Contact Name* First Main Contact Title* Main Contact Email* Phone*Community Art Initiative Name* Primary Address (Physical location) City State / Province / Region ZIP / Postal Code Website Website 2 Facebook Twitter Linkedin [Optional] Secondary Contact or Address (Mailing address or secondary location)Secondary Contact Name Secondary Contact Title Secondary Contact Email Address Street Address City State / Province / Region ZIP / Postal Code PhoneStatus *Status* Annual Festival Art Hive Artist Collective Artist-run Centre Arts Council Business Charity Non-profit Program Project Resource Other, please specify Main Communities Served *Main Communities Served* Adults All Ages Children Dis/Abilities FNMI Homeless Homeless Youth Seniors Youth If you serve additional communities, please specify: Main Catchment Area *Main Communities Served* Alberta British Columbia Canada-wide Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Add details of your catchment area if needed Arts DisciplinesArts Disciplines* Circus Arts Dance Literary Arts Media Arts Multidisciplinary Music Theatre Visual Arts Other If Other arts, please specify Arts Focus Language(s) UsedLanguage(s) Used EN FR EN/FR Other, please specify Ex. Spanish, and some of our staff speak Tagalog Introductory paragraph about your initiativeMandate/Mission*Main Community-Engaged Arts / Arts for Social Change Activities*ArtBridging (optional) What could you offer other community-engaged arts initiatives? (e.g. mentorship) How could other community arts initiatives help you? Where is support needed?Logo and ImagesUpload LogoMax. file size: 512 MB.Logo caption Upload Main ImageMax. file size: 512 MB.Main Image caption Upload Additional Images (Max. 10) Drop files here or Select files Max. file size: 512 MB, Max. files: 10. Additional images caption Video Video Caption Photos credit of Submitted by Additional Info If you are providing links to videos you’d like included with your profile, leave links in the “Additional Info” Box below. Just be sure to include the videographer’s credit(s). If you’d like to add links to other social media pages, please add them belowDo you grant ArtBridges/ToileDesArts permission toDo you grant ArtBridges/ToileDesArts permission to: Post this profile and submitted photos/videos/logos on ArtBridges/ToileDesArts’ website and social media networks?:* Yes No Link to your website?* Yes No Do you agree that if you provide ArtBridges with images, videos, media or artwork that features or includes participants of your community arts initiative, or their art, you have received participants’ (or their guardian’s) permission (i.e.: through a model release form) for the purpose of outreach and promotion of your community arts initiative.* Yes No Would you like to keep up-to-date with ArtBridges news?* Yes No Terms of Use* I have read and agreed to ArtBridges/ToileDesArts terms of use Δ
