Farm Gate Art Registration Form

Ravensthorpe Regional Arts Council

 

FARM GATE ART WORSHOP REGISTRATION

 

Participants Name: ______________________________________________

 

Contact Details: _______________________________________________________________

Telephone________________________Email: _________________________

 

Emergency Contact Name :______________________Phone No ______________

 

I ____________________________ accept full responsibility and liability for my own safety during the RRAC Farm Gate Art Workshop, before, during and after workshop hours while on the workshop venue site.

I give RRAC permission to use images of my sculpture in written and photo publication for the website, newsletter, newspaper articles, blogs etc.

RRAC reserves the right to refuse acceptance of the sculpture into the Self Drive Art Trail if the sculpture does not meet safety requirements.  All sculptures must be inspected by RRAC before they are erected so that suitable positions can be used so as not to cause Motor Vehicle driver distraction

 

 

Signature of Participant ________________________________

 Date    /08/2014