Franklin Park Arts Center Exhibit Application and Release Form [Once Upon A Time]

Franklin Park Arts Center
36441 Blueridge View Lane, Purcellville, VA 20132
Office: 540-338-7973 | www.franklinparkartscenter.org | Elizabeth.Bracey@loudoun.gov

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Operating within the Parks Division of Loudoun County’s Department of Parks, Recreation and Community Services
Once Upon A Time
Exhibition Dates:

AUGUST 6 - SEPTEMBER 7

Online Entry Form Deadline: August 3, 5:00 PM

Artwork Drop-Off Dates:
August 2 12:00 PM - 4:00 PM & August 3, 9:00 AM - 5:00 PM

Artwork Pick-up Date: Tuesday, September 8, 9:00 AM - 5:00 PM
APPLICATION AND RELEASE
Artist's Name:
Phone Number:
Format: (000) 000-0000.
Address
Email:
example@example.com
Is this your first time exhibiting at Franklin Park Arts Center?
Are you a county employee?
Please enter the information for your piece(s) below. You can submit up to three pieces per exhibit. Please be aware that depending on the number on entries received, not all pieces may be selected.
Artist Statement
If you would like to provide any additional information about you or your pieces, feel free to add them here!
I understand and agree that images of my artwork may be used on the FPAC website, County of Loudoun website, social media and/or newsletters. I hereby release the County of Loudoun, the Board of Supervisors, agents and servants and employees from any and all claims, injury and property damage which I may hereafter have, or claim to have, arising out of the display of my property.
Signature
I acknowledge and agree to the terms listed above.
Date

MonthDayYear
Date
- Date Artwork dropped off
  
  MonthDayYear
  Date
- Artist's signature picking up
- Date Artwork picked up
  
  MonthDayYear
  Date
- Staff Initials
- Buyer name
- Date sold
  
  MonthDayYear
  Date
- Sale price
- Should be Empty:

Once Upon A Time

APPLICATION AND RELEASE