art Submission form- - New Lenox Public Library · TEEN ART SUBMISSION FORM Name: Grade: Age:...
1
Teen TEEN ART SUBMISSION FORM Name: Grade: Age: Phone: Artwork Title: Materials Used: I affirm that this submied work is my original work and was created only by me. I give permission to loan your my piece of artwork to the library : Yes Signature of Arst: Date: Parent/Guardian Signature: *Not required if arst is 18 Include in the form: I, the parent/guardian of the child named below (unless contestant is 18) do hereby give permission to the New Lenox Public Library to place this work on display and to reproduce my child’s work (giving due credit to my child) on the library’s website and in other library publicity or publicaons. I agree to release the New Lenox Public Library from any liability for any loss or damage that may occur while my child’s work is at the library. I also agree to release the New Lenox Public Library, its employees, agents and representaves, from any and all liability, claims or damages which in whole or in part result from, or arise out of, or are claimed to result from or arise out of parcipaon in art displays within the Teen Scene.
Transcript of art Submission form- - New Lenox Public Library · TEEN ART SUBMISSION FORM Name: Grade: Age:...
TeenTEEN ART SUBMISSION FORM
Name:
Grade: Age: Phone:
Artwork Title:
Materials Used:I affirm that this submitted work is my original work and was created only by me.
I give permission to loan your my piece of artwork to the library : Yes
Signature of Artist: Date:
Parent/Guardian Signature:*Not required if artist is 18
Include in the form:I, the parent/guardian of the child named below (unless contestant is 18) do hereby give permission to the New Lenox Public Library to place this work on display and to reproduce my child’s work (giving due credit to my child) on the library’s website and in other library publicity or publications. I agree to release the New Lenox Public Library from any liability for any loss or damage that may occur while my child’s work is at the library. I also agree to release the New Lenox Public Library, its employees, agents and representatives, from any and all liability, claims or damages which in whole or in part result from, or arise out of, or are claimed to result from or arise out of participation in art displays within the Teen Scene.
