An Independent Residency Name * First Name Last Name Email * Phone (###) ### #### What accomodation are you interested in? The Barn (private lodging, full kitchen, WIFI, private studio) The Top House (shared lodging, WIFI, artists library, private room, private bathroom, shared studios, supper provided) The Campsite (Available May to September: power, water, shower building) Arrival MM DD YYYY Departure MM DD YYYY What is your website or social media? Who recommended the residency to you? What is the intended direction for your residency? * Thank you!