2nd Annual Celebrating Creative Arts in Recovery at the GACA Fall Conference!
Sponsored by Pamela Weeks with Pam and Buffy
Submission Form
Artist or Counselor May Use This Form
Artist's Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name to be Displayed
Artist's Full Name
Artist's First name, last initial
No name (the artist wishes to remain anonymous)
Medium of the Work
Photography
Painting
Drawing
Sculpture
Graphic Design
Poetry
Work Title
Artist Statement about this piece:
Artist's Bio:
Upload a photo(s) of your artwork here:
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Counselor's Name (if the Counselor is submitting this form)
First Name
Last Name
Counselor's Email (if the Counselor is submitting this form)
example@example.com
Thank you to our Sponsor:
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