BRX Registration | Nevada Arts Council

Name(Required)

First Last

Organization or Affiliation

Role

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

I self-identify as an (pick 1)

Artist

Arts Administrator

Arts Educator

Government or municipality representative

Small business owner

Community member

Check here if you also identify as a culture bearer or cultural worker as described by the National Endowment for the Arts as “the artists, cultural organizers, communities, and tribes that maintain, strengthen, and make visible the nation's diverse living cultural traditions which contribute to the well-being and resilience of people and communities”

Check here if you also identify as a culture bearer or cultural worker as described by the National Endowment for the Arts as “the artists, cultural organizers, communities, and tribes that maintain, strengthen, and make visible the nation’s diverse living cultural traditions which contribute to the well-being and resilience of people and communities”

I understand that registration to the program is only for one single individual and the $75 registration fee only covers the opening dinner cost for this individual. Fees are due no later than Monday, March 14, 2025.

Do you have any access needs or disability accommodations that you would like us to know about?

Please select all that apply regarding your LODGING accommodations:(Required)

I will be making my own lodging arrangements. (No comp lodging)

I will arrange my own lodging because I work within a government agency (City, County, State, Library or Other).

I will be receiving complimentary lodging and making the arrangements at Hotel Nevada

Please select all that apply regarding TRANSPORTATION accommodations.(Required)

I will be arranging my own transportation.

I am interested in carpooling with someone from my area.

I am interested in carpooling with someone from my area and am willing to be a driver

BRX Pre-Gathering Tours (May 7, 2025)(Required)

Yes, I plan to attend the pre-gathering tour from 12:30-2:30 p.m. (Renaissance Village)

Yes, I plan to attend the pre-gathering tour from 2:30- 4:30 p.m. (Downtown Ely Mural Walk)

Yes, I will attend BOTH tours! 12:30-4:30 p.m.

No, I will not attend the tours and will arrive for the opening activities beginning at 5:30 p.m.

Do you have any dietary restrictions? Select all that apply.

Vegan

Vegetarian

Gluten Free

Pescatarian

Lactose Intolerant/ Dairy Free

None

Do you have any food allergies?(Required)

Yes

What allergy do you have? Please list food items

Full registration fee ($75) refunds will only be issued BEFORE April 16, 2025, and must be coordinated with Maria Moreno at mmoreno@nevadaculture.org or 775-687-7118. Any cancellations made after April 16, 2025, will NOT receive a refund.

Product Name

Price: $0.00

Cancellation Agreement(Required)

I have read the cancellation agreement and understand the terms.