| focus_on_the_future_permission.docx |
“Focus on the Future”
Alcove Art Gallery Student Art Invitational Show
January, 2013
Permission to use artwork for publicity purposes.
Alcove Art Gallery, a co-operative art gallery located at 328 Pioneer, Ridgefield, WA has permission to use images of the following artwork for the purpose of publicity only
.
The artist will retain all ownership and copyrights to the original artwork and no images will be used for any purpose other than publicity and promotion of the January 2013 featured show. No personal information regarding the student will be released and no contact information regarding the parent/guardian will be shared.
Name of Artwork:____________________________________________________________________
Medium used:_______________________________________________________________________
Size of artwork:______________________________________________________________________
Brief description of work (for identification purposes):_______________________________________
___________________________________________________________________________________
Name of artist:_______________________________________________________________________
Age / grade of artist:__________________________________________________________________
Optional--Parent’s contact information
(We would like to be able to send you the e-mail announcement of your child’s art exhibit at the gallery.)
Name___________________________________________________________________________
Address__________________________________________________________________________
_________________________________________________________________________________
e-mail_____________________________________________
Parent or guardian signature:___________________________________________date:_____________
Congratulations on your child’s achievement and thank you for allowing your student to participate in our January art event.
If you have any questions, please feel free to contact the gallery at 360 727 3088. Gallery hours are Wed-
Sat 10:00am to 5:00pm.
