Beginning/Intermediate Painting Registration

Name *
Name
Phone
Phone
Address
Address
(mm/dd/yy)
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
Are there any special needs, consideration, or health concerns we should know about?
Check all that apply
Consent and Release *
I consent to interviews, photographs, and audio and video recordings of myself (collectively, “Personal Images”). I grant Art for People the irrevocable right to use, reproduce (whether through digital copying, photography, audio and video recordings, or any other means), release, publish, transmit, distribute, exhibit, and/or display in any and all forms and media (whether existing or future, and whether in whole or in part) and in any and all manners, including composite or distorted representations, (1) any or all of my artwork that is created at or through Art for People, (2) any or all of the Personal Images, and (2) my name and likeness. (Items (1)-(3) are the “Materials.”) I waive all rights to inspect or approve any uses that may be created under the preceding paragraph, or the use to which any of the Materials may be applied. I waive all claims to compensation by, through, or under Art for People for any uses that may be created under the preceding paragraph. I agree that the Personal Images and all negative, data files, and other originals thereof shall constitute Art for People’s sole property, with the full right of disposition in any manner whatsoever. I certify that I either (a) am 18-years old or older and legally competent to execute this Consent and Release or (b) am under 18-years old and have the consent of my parent or guardian to execute this Consent and Release. I understand that the terms herein are contractual and not a mere recital, that this instrument is legally binding, that I have voluntarily signed this document, and that Art of People is relying on this Consent and Release to perform the activities described in the first paragraph above. I have read this Consent and Release to perform the activities described in the first paragraph above. I have read this Consent and Release and am fully familiar with its contents.