Name *

First Name

Last Name

Phone

(###)

###

####

Type of artwork submission: *

Visual Art - painting, drawing, etc.

Sculpture or Weaving

Spoken Word or Poetry

Music

Other

Would you like to submit your artwork anonymously? *

Yes

No

Do you plan on attending the event? *

Yes

No

Do you have a connection to addiction, recovery or trauma? *

Yes

No

Did you previously submit artwork for Together23?

Yes

No