Kentucky All "A" Classic
Artwork Release Form
Student Name: _________________________
Student Street Address: _____________________________________
City, State, Zip: ________________________________________
Telephone Number: ( ) ______________
Name of High School: ________________________________
Name of Art Teacher: ________________________________
Student Information:
As a participant in the Kentucky All "A" Classic Art Competition, I hereby grant permission for The Kentucky All "A" Classic to use and reproduce my artwork for promotion and/or the display of my artwork on their website(s).
Student Signature: ___________________________ Date: _________________
Parent/Guardian Information:
We hereby grant permission for our child's artwork to be used by The Kentucky All "A" Classic. We understand that our child's artwork will be used by The Kentucky All "A" Classic for promotion purposes and/or displayed on their website(s).
Parent/Guardian Signature: ___________________________ Date: _______________
Please mail this release form to:
Melissa Peters
917 Woods Run Road
Bardstown KY 40004