Name *

First Name

Last Name

Age *

Is the artist 18 years in age or older?

Yes

No (Complete the Next Question)

Display *

Is this work 2D or 3D?

2D (Hangs)

3D (Sits)

Other (Explain in the Artwork Comment)

Image Usage for Social Media *

Is permission granted to utilize an image of your artwork(s) on social media for purposes of promoting this exhibit? (Note that regardless of this answer, photos of the gallery may naturally include glimpses of works.)

Yes

No

Image Use for Media Promotion *

Is permission granted to utilize an image of your artwork(s) in a potential Culture On The Line article or promotional items, such as a newspaper article?

Yes

No

Liability *

Works are not insured by the venue or organizer and, therefore, would not be covered by loss or damage from theft, fire, etc. Do you acknowledge reading this?

Yes

No