Anarchapulco 2024 Entertainment Intake Anarchapulco 2024 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 * FilmVisual ArtMusicPerformance Art Name of Piece (If Applicable) Headshot in high quality for the website: * Drop a file here or click to upload Choose File Maximum file size: 314.57MB Biography for website <p><br data-mce-bogus="1"></p> Website/Links/Social Media <p><br data-mce-bogus="1"></p> Do you agree to the terms of the Speaker Agreement including in relation to event promotion, speaker briefings and communication with Anarchapulco staff? * * YesNo Do you agree to participate in mediation in the event of conflict between yourself and Anarchapulco?* * YesNo Do you agree to practice the Four Agreements?* * YesNo Website/URL If you are human, leave this field blank. Submit Start Over
