Art Show Student Release Form

This year’s theme, RAÍCES (Roots), invites students to explore where they come from, what shapes their identity, and who they are becoming. The exhibit celebrates the artistic voice, creativity, and talent of students across our local communities.

Please Note: This signed form must accompany artwork submitted by each participating student. Please fill out, sign, and submit.

Contact Margarita Alaman (malaman@esd123.org) if you have any questions.
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Email *
Releases and Permissions:
Please read carefully.

1.    PERMISSION TO DISPLAY ARTWORK ON WEBSITE AND IN PUBLICATIONS
I acknowledge and understand that the ESD & LULAC may showcase all entries to this Art Show in various multimedia formats including, but not limited to, their websites. This information will be open to public view and may include my first name, last name, school/district, title of entry, medium, and inspiration and/or description. 

2.    RELEASE AND UNDERSTANDING
We/I, the undersigned, grant consent for public display of the art entry and release the ESD & LULAC from all liability for damage, loss or misappropriation. In signing this release, I give the ESD & LULAC or any organization acting on its behalf the right to use, publish, display and/or reproduce any video/recorded voice/photographs in which I may appear, without payment.  21st Century and LULAC are not responsible for damaged entries but will handle artwork with the upmost care.

3.    PHOTO/VIDEO RELEASE
The ESD is dedicated to supporting teaching and learning in the State of Washington. This includes developing websites, publications, and informational materials. In this work, there will be opportunities for people to be interviewed, photographed, and/or videotaped. I understand and agree that these materials (interviews, photographs, videos, recordings) will become the property of ESD 123 & LULAC and will not be returned. I also authorize ESD 123 & LULAC to edit, alter, copy, exhibit, publish, or distribute this video/recorded voice/photograph for educational purposes or any other lawful purpose. In addition, we/I give permission to use likeness/voice of participant along with full name.
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Required
I acknowledge and understand that ESD 123 & LULAC will showcase all entries in the Art Show and in various multimedia formats including, but not limited to, their website. This information will be open to public view and may include my student's first name, last name, school/district, title of entry, medium, and inspiration and/or description. By checking the YES box below, I agree to the releases and permissions listed above. *
Student First Name *
Student Last Name *
What School does your student attend *
Parent/Guardian First Name
(If over 18 please enter in your name) *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
*Parent/Guardian Signature*
Type your full name in the space below to certify that you are the parent or legal guardian of the student name above
Today's Date *
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