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Artist Application
* Required
Artist Name*:
Please enter an artist name.
Artist Preferred Name:
Mailing Address*:
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City*:
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State*:
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ZIP Code*:
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Physical Address:
City:
State:
-- Select State --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code:
Please enter a valid ZIP code in the format 12345 or 12345-6789
Cell Phone*:
Please enter a valid phone number in the format (111) 111-1111.
Home Phone:
Please enter a valid phone number in the format (111) 111-1111.
Work Phone:
Please enter a valid phone number in the format (111) 111-1111.
Email Address*:
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Date of Birth* (MM/DD/YYYY):
Calendar
Please enter date of birth.
Art medium you will be marketing* (i.e., painting, jewelry, sculpture, etc.):
Please enter medium.
Tribal Affiliation(s)*:
Absentee Shawnee
Acoma Pueblo
Alaskan Native, Tlingit
Anishinaabe-Lakota
Caddo
Cherokee
Chickasaw
Choctaw
Comanche
Coushatta Nation of Louisiana
Delaware
Diné
Eskimo
Euchee
Hopi
Jemez Pueblo
Jicarilla Apache
Kaw
Kiowa Tribe of Oklahoma
Laguna Pueblo
Miami Tribe of Oklahoma
Mississippi Choctaw
Muscogee (Creek)
Navajo
Navajo-Diné
Northern Arapaho
Oglala Lakota
Ohkay Owengeh
Onondaga
Osage
Otoe Missouria
Pawnee
Pheasant Rump Nakota First Nation
Ponca
Potawatomi
Prairie Band Potawatomi
Sac & Fox
San Felipe Pueblo
Santo Domingo Pueblo
Seminole
Shoshone-Bannock
Wichita
Zuni Pueblo
Other
Please enter a tribal affiliation.
Other Tribe Name*:
Please enter a tribe name.
CDIB or Tribal ID* (20 MB max; allowed file types: .jpg, .jpeg, .png, .gif, pdf, doc, docx):
Please upload a copy of your CDIB or Tribal ID.
File is too large (20 MB max) or wrong type (allowed types: .jpg, .jpeg, .png, .gif, pdf, doc, docx).
Examples of Your Work
* Required:
Please upload an image.
File is too large (20 MB max) or wrong type (allowed types: .jpg, .jpeg, .png, .gif).
* Required:
Please upload an image.
File is too large (20 MB max) or wrong type (allowed types: .jpg, .jpeg, .png, .gif).
* Required:
Please upload an image.
File is too large (20 MB max) or wrong type (allowed types: .jpg, .jpeg, .png, .gif).
Please upload an image.
File is too large (20 MB max) or wrong type (allowed types: .jpg, .jpeg, .png, .gif).
Photography/Video Release
I hereby grant the Chickasaw Nation, its agents, and others working for it or on its behalf and their respective licensees, successors, and assigns the absolute right and permission to use, publish, reproduce, broadcast, and copyright my name, picture, likeness or any material based upon or derived therefrom, or to refrain from so doing, in any manner or media whatsoever for purposes of advertisin
You must agree to the Photography/Video Release.
I agree that my picture or likeness, or anything derived therefrom or created by the Chickasaw Nation is owned by it. If I should receive any print, negative, or other copy, I will not authorize its use by anyone else.
You must agree to the Photography/Video Release.
I will have no right of approval, no claim to additional compensation, and no claim (including without limitation, claims based upon invasion of privacy, defamation, or right of publicity) arising out of any uses, alteration, distortion, or illusionary effect or use in any composite form.
You must agree to the Photography/Video Release.
I agree that this release does not in any way conflict with any existing commitment on my part.
You must agree to the Photography/Video Release.
Terms & Conditions
By checking this box, you agree to the Category and Market Requirements.
You must agree to the terms and conditions.
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