Clinic Appointment Request Form

Clinic Appointment Request Form

All clinic slots for February's Art Law Clinic are full. We'll be offering another clinic in March. You can sign up using this same form. Stay tuned for updates!
Request a clinic slot*
Name*

First NameLast Name
Email*
example@example.com
Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What county do you live in?*
Cell Phone*
Please enter a valid phone number.
Race*
What type of artist are you?*
What type of legal issue are you having?*
Detailed description of legal issue*
Do you have any files or documents that may need further review by an attorney?*

YesNo
Do you have a digital copy of these files or documents?*

YesNo
I understand that this month's clinic will take place on Zoom with no in-person appointments and certify that I will attend virtually at my confirmed appointment time.*

YesI will cancel my clinic appointment and wait for an in-person clinic.
Should be Empty: