Name *
Name
Address *
Address
Phone
Phone
Age *
Age
Requested Studio *
We try to deliver the studio requested but it may need to be changed due to availability.
Requested Start Date *
Requested Start Date
If available
Requested End Date *
Requested End Date
If available
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Agreement to Terms & Conditions *
I accept and understand the terms & conditions of the Residency as outlined on the Cowwarr Art Space website. I understand that I am responsible for all costs incurred to undertake this residency and that a months notice is required if I have to cancel a residency offered.