Anarchapulco 2023 Resist Artist Intake Form Anarchapulco 2023 Entertainment Intake Form Name as you would like it to appear on the website * Name as you would like it to appear on the website First First Last Last Email * Type of Artform * Film Visual Art Music Performance Art Name of Piece (If Applicable) Headshot in high quality for the website: * Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Biography for website Website/Links/Social Media Do you agree to participate in mediation in the event of conflict between yourself and Anarchapulco? Yes No If you are human, leave this field blank. Submit Start Over