Artists Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Cell *Can I text you? *YesNo?Website / URLAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow may months a year do you reside in Brevard County? *FacebookInstagramArt Medium *Describe your art style style (how it is made, reason you make your art) *Why do you think your art is a good fit for Breakers Art Gallery? *What does it mean to be a gallery ready artist? *List current art gallery’s and/or art associations you are a member of. *List art shows in which you have participated or you do participate in *Are you willing to co-op in the gallery a few days a month? *YesNoWhat days of the week are you available?TuesdayWednesdayThursdayFridaySaturdaySundayAvailable hoursDo you have any limitations? Example: back issues require limited work. I can’t get a ride to the galleryUpload three images that best represent your artwork. The box below is for you to explain your artwork, if needed.File Upload * Click or drag a file to this area to upload. File Upload * Click or drag a file to this area to upload. File Upload * Click or drag a file to this area to upload. Submit All * entries are required.