Exhibit Form

Name:
Email:
Phone:

Please use the space below to briefly describe the work you wish to display.

Provide a date and time you will be available to bring a sample of your work for review.

I certify that I have read the Exhibit Policy, had ample time to ask questions, and agree to its terms. I understand that any damage done to the building is my responsibility and I am prepared to pay restitution to the building owner.

Signature	Date

☐	Approved	☐	Not Approved
Date Exhibitor Notified:	Date(s) of Exhibit:

Library Manager Signature	Date

Notes

1.24.21