Art Exhibition Story Sharing Consent Form
Please complete this form to grant permission for your story, quote, name, and/or related submission to be shared or displayed by the exhibition.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Pronouns
Please Select
She/Her
He/Him
They/Them
Other
Role in the Exhibition
*
Artist
Story Contributor
Attendee
Volunteer/Staff
Other
Title or Name of Artwork/Story
*
Type of Submission
*
Please Select
Artwork
Personal Story
Quote
Other
Brief Description of Submission or Context
*
Your Story or Quote (to be shared/displayed)
*
Submit
Should be Empty: