Art Exhibit Figure Usage Rights Form
Artist Information
Name
Email
Phone
Artwork Details
Title of Artwork
Medium
Year Created
Description
Usage Rights
I grant permission for my artwork image to be used for exhibit display purposes.
I grant permission for my artwork image to be used in promotional materials (print/online).
I grant permission for my artwork image to be included in a digital/printed catalog.
Other permissions (specify below):
Usage Terms/Restrictions
Declaration
I declare that I am the creator and copyright holder of the artwork described above, or have full authority on behalf of the copyright holder to grant the rights indicated on this form.
Signature
Date