EFA Member Artist Name *

First Name

Last Name

Name of Studio Share Applicant *

First Name

Last Name

Studio Share Start Date *

MM

DD

YYYY

Studio Share End Date

If the share is open-ended, please leave blank. **PLEASE INFORM THE STUDIO STAFF WHEN YOUR SHARE LEAVES.

MM

DD

YYYY

Studio Share Primary Phone *

(###)

###

####

Studio Share Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select option that best describes your share's artistic practice *

Collage

Drawing

Installation

Mixed media

Music

Painting

Performance

Photography

Printmaking

Sculpture

Sound

Video

Works on paper

Do you need a second radio key? *

If you need a radio key for your share please bring a check for $75 deposit (made out to: "The Elizabeth Foundation for the Arts") to the office. ***We do not accept CASH or credit card***

Order a radio key.

No thanks.

Do you need another door code for your share? *

If you need an additional door code for your share, please provide a 5-digit code in the next question.

Yes please. (Please answer the next question.)

No thanks.

The studio member is asserting that they will be sharing their studio during the listed timeframe. We have carefully discussed and agreed upon times of usage, the use of space and storage of materials. Studio share has read and agrees to abide by the EFA Studios Short Term Rules. Studio Share agrees not to participate in Open Studios. Electronic Signature

First Name

Last Name