Art Label and Release Form for Middle School Art Displayed at the CRC
| Please submit form and artwork by April 22, 2022, to Tami Coffman at the CRC. Attach two copies of the signed form to back of piece with masking tape. Please indicate which way is up so that artwork may be displayed correctly. Thank you! |
| Artist Release Form |
| First Name | Last Name | Student No. |
| Address | City | Zip Code |
| Parent/Guardian Name | Parent/Guardian Phone Number |
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. |
| Artist Signature | Date |
| Parent/Guardian Signature (Required only if not permitted via the Rights and Responsibilities Form (FERPA) on file) | |
| Student Name | Artwork Title | ||
| Category (Ceramics/Pottery, Digital Arts & Design, Drawing Charcoal, Glass Art, Graphic Arts & Design, Mixed Media, Media Arts, Painting & Pastel, Photography, Printmaking, Sculpture) | Medium | ||
| School | Teacher | Grade | |