Artist Application

An Uplifting Event with Health Care Access OCTOBER 27, 2022 6 pm at The Soundbank, 119 S. Main Street, Phoenixville

Artist Application

Type of Art you would like to display(Required)

Bra Art

Artist Choice

Brief Description of your artistic idea(Required)

Name(Required)

First Last

Company/Organization

Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please check the box that you have read and agree to the following:

I will have my project (bra or other art piece) completed by October 14th. A photo will need to be presented for social media posts and promotion(Required)

I agree with the above statement

In lieu of a registration fee, I acknowledge that artists are encouraged to raise $150 in donations during the creating process or at the evening of the event(Required)

Not required for participation

I agree with the above statement

I have read the fine print and understand the rules listed on the Art Competition Details page(Required)

I agree with the above statement

A committee member will reach out to you to confirm we have received your application. Thanks so much for your participation. We can’t wait to see your creativity in action! HCA’s mission is to improve the health and quality of life in the greater Phoenixville area by helping the uninsured and underinsured overcome financial and cultural barriers in obtaining specialized health care.