Artist Consent Form Please complete this form and click on Send Your Name(required) Email(required) Phone Artist's Name(required) Artwork I, being the parent/carer of the above named artist, give permission for the artwork to 1. be displayed in the Creative Connections Exhibition or any subsequent exhibition/venue if unsold(required) Yes No 2. be available for sale at the Creative Connections Exhibition or, if unsold, at any subsequent exhibition/venue with 10% of the proceeds of sale being payable as commission to Creative Connections.(required) Yes No Images of Artwork I give permission for images of the artwork/s to be used freely for the following purposes, with the understanding that the artist retains copyright to the artwork/s. The images of the artwork may be 1. included in catalogues (required) Yes No 2. included on cards, bookmarks, etc., to be sold with proceeds being used to cover the costs of printing, administration, equipment hire, etc.(required) Yes No 3. included in an anthology, to be sold with proceeds of sales being used to cover the costs of printing, administration, equipment hire, etc.(required) Yes No 4. included on the Creative Connections website(required) Yes No 5. used for promotion and publicity of the project, e.g. newsletters, newspapers, flyers, posters, TV, radio, website, etc. (required) Yes No Profile of the Artist I give permission for the artist’s profile to be 1. distributed to the participating poets to be used to generate understanding and ideas when creating poetry to the artwork(required) Yes No 2. included in the anthology and/or on the Creative Connections website(required) Yes No 3. displayed in the Creative Connections Exhibition as required or any subsequent exhibition/venue if unsold(required) Yes No This consent form will remain effective for this and subsequent years until rescinded by you in writing or is deemed to be no longer necessary. Are there any comments you wish to include Submit