Application for The Betz Experience Over 18? * Yes – Continue to filling out the form No – At this time we are only allowing individuals over 18 years of age Name: * Nickname? Address * City * State * Zip * Email * Phone * Preferred dates: Thursdays only per schedule Number of added guests for your Thursday night art show reception see cost sheet for details. In short, what is your definition of an artist? Are you one? * In your opinion, on a scale of 1 to 10, do you like to: 1 2 3 4 5 6 7 8 9 10 Be in charge? * 1 2 3 4 5 6 7 8 9 10 Take risks? * 1 2 3 4 5 6 7 8 9 10 Explore the Unknown? * 1 2 3 4 5 6 7 8 9 10 Consider your higher self? * 1 2 3 4 5 6 7 8 9 10 In your opinion, on a scale of 1 to 10, how do you think others see you: 1 2 3 4 5 6 7 8 9 10 A leader? * 1 2 3 4 5 6 7 8 9 10 A risk taker? * 1 2 3 4 5 6 7 8 9 10 A believer in the Unknown? * 1 2 3 4 5 6 7 8 9 10 One who trusts in your higher self? * 1 2 3 4 5 6 7 8 9 10 Submit