Directions:
1. Attach two copies of signed release forms to the back of each piece with masking tape.

Student Art Labels and Student-Artist Release Form for High School Art Displayed at the CRC

Directions:

Please submit forms and artwork to the CRC by

Friday, March 18, 2022.

Attach two copies of signed release forms to the back of each piece with masking tape.

Art Piece Display Info Student-Artist Release Form for

Name:

Title:

Category:

Photography

Graphic Design & Digital Art

Ceramics

Sculptures

Painting & Pastel

Drawing & Charcoal

Mixed-Media

Multi-Media

Glass Art

________________

Medium:

Grade:

_____________

School:

________________

Teacher:

________________

Level:
Beginning Intermediate
Advanced
For Sale:

Yes

Price:

High School Art Displayed at the CRC

First Name:

Last Name:

Student Number: Address:

City:

Zip Code: Parent/Guardian Name: Guardian Phone Number:
We are excited when our students share their art work for display in our Everett Public Schools Community Resource Center. These pieces will be labeled with the student’s name and may be photographed and used on the school district’s website and in publications. We never knowingly release information about a student to anyone who wants to use it for commercial reasons.
By signing and answering "yes" to the statements below, you are agreeing to display your name and artwork in all potential capacities listed. If you do not agree to any portion of the student-artist release below, please select "no" on that particular statement and sign to confirm your preferences.
Please specify which way is up, so that artwork is displayed correctly.

Student-Artist Release:

Yes

No

I authorize Everett Public Schools to display my artwork labeled with my name in a public space at the Community Resource Center.
Yes

No

I authorize Everett Public Schools to use my name when accompanied with images of my art work on the district website or in other district publications.
Yes

No

I authorize Everett Public Schools to use images of my art work on the district website or in other district publications.

Yes

No

I understand that, in order for my artwork to be named the Superintendent’s Purchase Award winner, I will be selling my piece to the Everett Public Schools Foundation, and it will be permanently displayed in the Community Resource Center with my name.

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Quest i ons? Please contact

Tami Coffman

tcoffman@everettsd.org

425-385-4084

(Student-Artist Signature) (Date)

Parent/Guardian Signature (Required only if not permitted via the Rights and Responsibilities Form (FERPA) on file and under the age of 18)

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Zip Code:			Parent/Guardian Name: Guardian Phone Number:
We are excited when our students share their art work for display in our Everett Public Schools Community Resource Center. These pieces will be labeled with the student’s name and may be photographed and used on the school district’s website and in publications. We never knowingly release information about a student to anyone who wants to use it for commercial reasons.
By signing and answering "yes" to the statements below, you are agreeing to display your name and artwork in all potential capacities listed. If you do not agree to any portion of the student-artist release below, please select "no" on that particular statement and sign to confirm your preferences.
Please specify which way is up, so that artwork is displayed correctly.

Yes	No	I authorize Everett Public Schools to display my artwork labeled with my name in a public space at the Community Resource Center.
Yes	No	I authorize Everett Public Schools to use my name when accompanied with images of my art work on the district website or in other district publications.
Yes	No	I authorize Everett Public Schools to use images of my art work on the district website or in other district publications.
Yes	No	I understand that, in order for my artwork to be named the Superintendent’s Purchase Award winner, I will be selling my piece to the Everett Public Schools Foundation, and it will be permanently displayed in the Community Resource Center with my name.