Artwork Release Form - PDF

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Artwork Release Form - PDF Powered By Docstoc
					                                   Alabama 4­H 
                               Artwork Release Form 

I hereby grant to Alabama 4­H and the Alabama Cooperative Extension System the 
irrevocable and unrestricted right to use, reproduce, and publish my artwork for 
educational, promotional and/or other uses and release Alabama 4­H and the Alabama 
Cooperative Extension System from any and all claims, actions, and liability relating to 
its use of said artwork. 

Artist Name (Print): _____________________________________________________ 
Name (Signature): _____________________________________________________ 
Date: ________________________________ Phone________________________ 
Address ________________________________________________________________ 
Zip ____________________E­mail: _________________________________ 


Parent/Guardian Name (print): _________________________________ 
Parent/Guardian (signature): _________________________________ 
Date: _________________________________

				
DOCUMENT INFO
Description: Artwork Release Form document sample