Application form

Selecting the programme (please mark the selected option with a cross):	„Live” (presenting the performance at the festival)   

		

 „Video” (participating only in the video programme of the festival)

I would like to participate in both programmes	
Name and Surname:		
Date and place of birth:		
Address:		
e-mail :
phone number:
website:		
Information about education and list of the most important exhibitions or artistic projects (not more than 1500 characters): 
		
Short artistic statement (not more than 1500 characters)		
Short description of proposed performance including its expected duration as well as materials and equipment required (not more than 1500 characters) – it concerns only artists who are interested to participate in „Live” programme   
		
Description of the photo and video documentation of previous performances  (title, date, place of performance, name of the photographer/ video-maker)

I hereby agree for my personal data to be processed for the purposes of recruitment, under the Personal Data Protection Act of 29 August 1997 (Dziennik Ustaw of 2002 No.101, item 926, as amended).

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Date, place			             Signature

I hereby agree for the sent documentation to be stored in the Performance Art Archive, located in the Labirynt Gallery, ul. Popiełuszki 5, 20-052 Lublin. The Archive serves educational and research purposes exclusively. The collected materials are intended only for non-commercial use. 
	
I agree					

The application form, filled and signed, should be sent with the documentation of performances to the following address: perfound@gmail.com or by means of a file hosting service. The documentation can also be sent by post to the following address: Galeria Labirynt, ul. Popieluszki 5, 20-052 Lublin, with a note "Performance Platform Lublin 2014.” The deadline for applications is 15.07.2014.

I do not agree
 (Please tick the appropriate box)

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Place, date			              Signature