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2. First Name
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State
11. Zip
13. Email*
14. Phone Number*
16. Art activities available in Brighton.

    Select primary interests in the Arts.

    1. Local Art Exhibits
    2. Outdoor Art Festivals
    3. Art training available in Brighton
    4. Art classes/workshops for Youth
    5. Art classes/workshops for Adults

    1. Sculpture Workshops
    2. Photography Workshops
    3. Performing Arts
    4. Musical Workshops/Entertainment
    5. Other
18. Explain, if other. Or provide more information.
20. Would you like to support the arts by attending events taking place in Brighton?

    1. Yes
    2. No
21. Are you a member of an art group who would like to arrange special tours of our facilities for groups?

    1. Yes
    2. No
23. Name of art group
25. Information
    The Information you have provided will not be shared or sold to other entities. Thank you for becoming a supporter of the Eye 4 Art Program and the Arts in Brighton.
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field