Art Exhibit Experience Recording Consent Form
Please review and complete this form to provide your consent for the recording of your experience at the art exhibit.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Visit
*
-
Month
-
Day
Year
Date
Which art exhibit are you attending?
*
What is your role at the exhibit?
*
Visitor
Artist
Exhibit Staff
Other
What type(s) of recording are you consenting to?
*
Audio Recording
Video Recording
Written Testimony/Interview
Purpose of the recording (select all that apply):
*
Archival documentation
Promotional materials (e.g. website, social media)
Research and educational purposes
Other
Do you have any preferences or restrictions regarding the use of your recording? (Optional)
Signature
*
Submit Consent
Submit Consent
Should be Empty: