Artwork Release Form
Full Name
*
First Name
Last Name
Branch of Service
*
Military Status
*
Veteran
Active Duty
National Guard/ Reserves
Military Family
E-mail
*
State (or Country if outside US)
*
Phone Number (optional)
-
Area Code
Phone Number
Title of Drawing
*
Description of Drawing (optional)
If you have not submitted your drawing by email to feet@operationrevamp.org you can upload a copy here. (optional)
Upload a File
Cancel
of
By signing this release agreement I am agreeing that I am the artist and owner of the artwork submitted , as titled and optionally described above, and that I will retain copyright and possession of the original. I affirm and agree that I am giving Operation Revamp, Inc permission to use this artwork as indicated here, without compensation, and for a period of time as determined by Operation Revamp, Inc.. (please check all that apply)
*
I agree the artwork will be used in the promotional video
I agree the artwork will be included in the exhibition catalog .
I agree the artwork may be used on the Operation Revamp organizational website, blogs, Facebook, Causes or other online venues as determined by the organization.
I agree the artwork may be used in brochures and other printed promotional materials.
Electronic Signature (Your full name)
*
Date Signed
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: