Youth-Guardian Release Form
To Be Completed and Attached To Back Of Each Piece Of Art Work
Description of Artwork_________________________________________
Student Name________________________________________________
School______________________________________________Grade______________
Address________________________________________________________________
City_______________________________State_________________Zip_____________
Phone Number__________________Cell Number ___________________
Email Address_______________________________________________
Parent / Legal Guardian________________________________________
I give permission to the Smokin’ Red Dirt Arts Festival to exhibit the work of the above named student at the Youth Art Show on April 20-21, 2012.
Parent / Legal Guardian Signature_________________________________
Date______________
