Celebrity Ambassador Form

ARTPORTUNITY KNOCKS

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Make A Difference. Teach A Class! Use your voice!

* Indicates required field

Contact Name *

First

Last

Email *

Name of Artist (if not above) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Other Phone *

Website *

Select your genre *

Any additional specialty areas? *

Musical Theater (Triple Threat) TV Kids (Acting for TV/Films) Guitar Piano Drums Other instrument Music Technology

Preferred Masterclass week *

Any Saturday of the month 1st week of the month 2nd week of the month 3rd week of the month Please call/Open for discussion

(select top 3)

Please provide a brief description on why you would like to be a celebrity ambassador and serve our students *

Submit

Home
About
Events
Programs
- Fickett Elementary ASP Registration
- Kimberly Elementary After-School Program Registration
Donate
- Artportunity Knocks Logo T-Shirt
- Artportunity Knocks Logo Mug
Contact
- Volunteer
- Celebrity Ambassador Form