Form Posted on September 10, 2020 by rcgadmin Artist InformationArtist Name* First Last Age*(Artists under 18 years of age will have their first name published.)Email Address* Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code ArtworkArtwork Title*Dimensions*(Height x Width x Depth)Medium*Month Created*MarchAprilMayJuneJulyAugustSeptemberArtist StatementPlease tell us about your artwork.Artwork Upload*Accepted file types: jpg, gif, png, pdf, mov, mp4.CAPTCHAImage & Liability Release* I agree to the statement below.By submitting the image of the Artwork, the Artist grants an unlimited and unrestricted license to the Lauren Rogers Museum of Art to utilize said image in any manner or medium whatsoever related to the "Seeing 20/20: Community Creativity during COVID" online exhibition, including the right to utilize said image in any future reference to said exhibition.Terms & Conditions* I agree to the statement below.I certify that the submission, including text and illustrations, and any ancillary material were made by the Applicant indicated, and were not copied from another work, photograph, illustration or website, nor made by another. I represent that this submission does not infringe any third party intellectual property rights, nor does it contain any material that is defamatory, vulgar, or otherwise inappropriate.