Entry Form for “The Art of Happiness” Art Contest
Please fill out and return by Friday, March 18th. Only one piece per artist accepted. PLEASE PRINT CLEARLY.
2016 Theme: “The
Color of Change Within Us”
Wednesday, April 6, 2016 from 5:00 p.m. to 7:00 p.m.
Leu Gardens, Camellia Room
Name: ____________________________________________________________________________________________________________________________________________________
Age:
_____________________
School (if applicable): ______________________________________________________________________________________________
Will you attend the art show:
____________________
How many guests will attend the art show (not including yourself):
_________________________
Title of Artwork: _____________________________________________________________________________________________________________________________________
The Mental Health Association of Central Florida (MHACF) has our permission to utilize the attached artwork that we have submitted for
the “MHACF Art Contest.” We understand MHACF is not responsible for damage or loss of any entry. Artwork will not be returned to artists
unless specifically requested below and picked up at the end of the contest on 04/06/2016. The artwork may be used and duplicated freely
for whatever publicity purposed MHACF deem necessary. This may include, but not limited to, exhibition of artwork at the Art Contest,
display work on MHACF’s website, in newsletter, at administrative offices, and future promotions of art contests. ENTRY FORM DUE
FRIDAY, March 18th.
_____________________________________________________________________________________________________________
____________________________________
Signature
Date
_____________________________________________________________________________________________________________
_____________________________________
Parent Signature (if artist is under 18)
Date
IMPORTANT EVENT INFORMATION:
 Artwork registration/drop-off time: 4-4:30 p.m.*
 Artwork pick-up time: 7:15-8 p.m.
*attending artists are encouraged to stay for the duration of the art show (5-7pm)
 I will collect my artwork at the end of the show
 I will NOT collect my artwork at the end of the show
PHOTO RELEASE FORM
The Mental Health Association of Central Florida
1525 E. Robinson Street
Orlando, FL 32801
Permission to Use Photograph
Subject: _________________________________________________
Location: _________________________________________________
I grant to The Mental Health Association of Central Florida, its representatives and employees the right to take
photographs of me and my property in connection with the above-identified subject. I authorize The Mental
Health Association of Central Florida, its assigns and transferees to copyright, use and publish the same in print
and/or electronically. I agree that The Mental Health Association of Central Florida may use such photographs of
me with or without my name and for any lawful purpose, including for example such purposes as publicity,
illustration, advertising, and Web content.
I have read and understand the above:
Signature ________________________________________________
Printed name _____________________________________________
Organization Name (if applicable) _____________________________
Address __________________________________ _______________
Date _____________________________________ _______________
Signature, parent or guardian ________________________________ (if under age 18)
Please mail/fax/email completed form to:
Mental Health Association of Central Florida
Attn: Reflections
1525 E. Robinson Street
Orlando, FL 32801
Fax: 407-898-0122
Email: [email protected] or [email protected]