Memberships:














Sponsorhips:

CONTACT INFORMATION (We do not give out any of your information!)

Select a user name (min. 6 characters)
Select a password (min. 6 characters)
Your First Name
Last name
Artist Pseudonym (if any)
Can we give out your real name?	Yes No
Company
Sales rep./agent (if any)
Birthdate	Month / Day / Year
Street Address
City
State / Province
ZIP / Postal Code
Country
Tel.
Cell
Fax
E-mail	If you do not have an email address, enter "havenone@cruzy.org"
Website
Additional information (optional)

APPLICATION TYPE

Which art family do you represent?

Visual Art Performing Art Both

Visual Art Required Description Please help us in describing your art (materials, size, etc). Note that this is what will accompany your listing online. Please be careful about your wording, spelling, etc.   Performing Art Required Description Please help us in describing your performance. Note that this is what will accompany your listing online. Please be careful about your wording, spelling, etc.

INTERACTION & CONTENT

If your art or performance interacts with the audience, please describe how:
Describe the nature of your art (e.g. comedy, religious, political, surrealistic, realistic, etc.):
If possible, how would you rate your art using the PG rating scale of movies as we get often get asked this by parents, companies, religious groups and media.	G General Audience PG Parental Guidance Suggested PG-13 Parents Strongly Cautioned R under 17 requires accompanying parent or adult guardian. NC-17 No one 17 and under admitted Other (check all that apply): Violence Strong and explicit language Nudity Sexual content Strong sexual content
Do you have special needs? Check all that apply	Disabled access Have heavy equipment to transport Need wooden floor Need room (If so, what size?: ) Need lots of light Need stage (If so, what size?: ) Need sound system Need electricity Other:

AVAILABILITY

Are you for hire?	Yes No
What is your fee including any expenses, taxes, etc.	Note: Cruzy will add a referral/sales commission which will be added to your fee
What is your availability?	All year Selective months January February March April May June July August September October November December Selective days Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Available time on the specified days (e.g. 7am - 1pm)
How much time in advance notice do you need for a reservation? (e.g. 1 week)
What is the distance/radius you provide your service?	Santa Cruz only Santa Cruz county Monterey Bay area Greater Bay area Not applicable Other:

SPECIAL FEATURES

For what type of events can you be hired? (check any that apply)	All Private Party Company Party Surprise Parties Receptions Weddings Regular evening events Instructions Other:
Check the types of audience that will attend your event (check all that apply)	All Children Teenage Adult Seniors Disabled Male Female Small groups (3-10) Medium groups (11-20) Large groups (20-40) Very large groups (>40) Particular Ethnicity: Particular Religion:
Check any of the languages you are fluent in:	English Spanish French German Japanese Cantonese Portuguese Vietnamese Other:
What is your experience:	< 1 year 1-2 years 3-5 years 6-10 years 11-25 years > 26 years Awards/recognitions: Licences: References: Highlights: Other: