Black Art Gallery Application Form
First Name
Legal First Name
Last Name
Legal Last Name
Stage Name / Artist Alias
Email
*
Phone
*
Website
Are you an artist who is identified as Black or of African descent?
*
Yes
No
Artist Bio
*
Social Media
Instagram
TikTok
YouTube
Behance
DeviantArt
X (Twitter)
Other Social Media
Artwork Submisssion
How many art pieces do you plan to submit?
Title of Work:
Medium:
Size in Inches: Height ___ Width ___
Year Completed:
Price: (Let us know if not for sale)
File Upload: (Make sure each file uploaded matches the name of the piece)
Provide the above information for EACH piece you are submitting
Upload one image for EACH piece you are submitting
Click to upload
PDF, DOCX, DOC, PNG, JPEG or JPG ( max 20 Files )
Preferred Meet & Greet Time:
Meet & Greet: Fri, Jun 19th - Juneteenth Celebration (Select all that apply)
*
noon to 1:00 pm
1:00 pm to 2:00 pm
2:00 pm to 3:00 pm
3:00 pm to 4:00 pm
4:00 pm to 5:00 pm
5:00 pm to 6:00 pm
6:00 pm to 7:00 pm
7:00 pm to 8:00 pm
8:00 pm to 9:00 pm
Meet & Greet: Sat, Jun 20th - The Gateway Art Stroll (Select all that apply)
*
5:00 pm to 6:00 pm (Art Stroll)
6:00 pm to 7:00 pm (Art Stroll)
7:00 pm to 8:00 pm (Art Stroll)
8:00 pm to 9:00 pm (Art Stroll)
9:00 pm to 10:00 pm (Art Stroll)
Preferred Live Painting Time
Live Painting: Fri, Jun 19th - Juneteenth Celebration (Select all that apply) (copy)
noon to 1:00 pm
1:00 pm to 2:00 pm
2:00 pm to 3:00 pm
3:00 pm to 4:00 pm
4:00 pm to 5:00 pm
5:00 pm to 6:00 pm
6:00 pm to 7:00 pm
7:00 pm to 8:00 pm
8:00 pm to 9:00 pm
Live Painting: Sat, Jun 20th - The Gateway Art Stroll (Select all that apply) (copy)
5:00 pm to 6:00 pm (Art Stroll)
6:00 pm to 7:00 pm (Art Stroll)
7:00 pm to 8:00 pm (Art Stroll)
8:00 pm to 9:00 pm (Art Stroll)
9:00 pm to 10:00 pm (Art Stroll)
Gallery Gift Shop
Would you like to have your prints and/or original pieces available for sale in the Gallery?
*
Yes
No
Website Feature
Are you interested in being featured on the saltlakejuneteenth.org website?
*
Yes
No
Vendor Booth
Are you interested in a separate vendor booth during the Juneteenth Celebration to sell your artwork and/or other products?
*
Yes
No
Promotion
Are you willing to participate in advertising/promoting for the event to make it a success? (i.e., posting on social media)
*
Yes
No
Acknowledgments & Agreements
I certify that the artwork I am submitting is my original work.
*
I understand and confirm.
I understand that Salt Lake Juneteenth Celebration is a family friendly, all-ages, open to the general public, community festival.
*
Yes, I understand.
I understand that all displayed artwork must be appropriate for an all-ages audience and devoid of explicit content.
*
Yes, I understand.
Submit Application
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