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FreezerBurn 2022: Weird Science!
Art Intake Form
Art Piece Name
*
Associated Theme Camp
(100% Optional)
Description for Art Guide
*
Artist Bio & Website
(include any info you want put on the FreezerBurn website for year-round exposure)
Total Funding Requested
*
Dangerous Elements
(Select all that apply.)
*
My art will be 100% safe for all hippies to enjoy without any type of warning or babysitter on duty.
My art will have fire or flame effects.
My art will have loud sound effects.
My art will have flashing or strobe light effects.
My art will be dangerous, but the type of danger I anticipate is not listed here.
Special Danger Posed
*
Fire or Flame Effect Details
*
Art Piece Dimensions (L' x W' x H')
*
Transportation Needs
*
I will provide my own transportation.
I will need help getting my art to the FZB land.
On-site Assistance Needed
(Select all that apply.)
*
I got this - no assistance needed.
I will require use of a VR during install.
I will require additional power during install.
I will require additional power to run my art throughout the event.
I will require additional power during tear-down.
Additional Power Needed During Install
*
Additional Power Needed Throughout Burn
*
Additional Power Needed During Tear-down
*
Build Plan
*
Install Plan
*
Tear-down Plan
*
Breakdown of Materials & Cost
*
Attach supporting documentation.
Team Contact information
Project Lead Legal Name
*
Project Lead Burner Name
Project Lead Preferred Contact
*
Email
Text (SMS)
Project Lead Email Address
*
Project Lead Phone
*
Grant Funds Disbursement
Preferred Method for Funds Disbursement
*
Paypal
Check
Paypal Email
(In case of issues with PayPal, we will send a check!)
*
Mailing Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Additional Team Members
(include email and/or phone if team member wants to be copied on art communications)
+
-
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