Creative Work Release Authorization Form
Please fill out this form to authorize the release of your creative work.
Full Name
First Name
Last Name
Email Address
example@example.com
Description of Creative Work
Date of Work Completion
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I hereby authorize the release and use of my creative work as described above.
Signature
Date of Signature
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: