tango intervention

Organizer Registration

(Fields with a * are required)

Name*

Affiliation

Email*

Phone

Address
City

State

Country

URL

Estimated Number of Participants*

Location of Intervention
City*

State (required for US)

Country*

Short Physical Description of Location

Modes of surveillance at site
Private
Government
Both
Unknown

Images of Location (maximum size 250k each)

Social Description of Location
How is the space used and by whom. What is the history of the site. Are there any “Hidden Histories” here? Please describe.

Date/Time of Intervention
Date*

Start Time*

Finish Time*

Comments

Release of Liability*
I have
-Read the safety warnings
-Discussed with all participants any possible risks involved
-Read and fully understand the liability disclaimer, and agree to freely participate in Tango Panopticon at my own risk, taking full responsibility for my actions.

All individuals who participate in whatever capacity in Tango Panopticon do so completely at their own risk, and will not hold Robert Lawrence, or tangointervention.org responsible for any consequences of their participation.

______________________________________________________________________________

For more info please contact tangointervention@gmail.com