Fillable Printable Letter of Intent or Acknowledgement Form

Letter of Intent or Acknowledgement Form

Southern Alleghenies Museum of Art

Artists of the 21

Century

Student Art Exhibition - 2013

Letter of Intent/Acknowledgement Form

Please print legibly.

I _____________________________________________, from

_______________________________________________ School of

______________________________________ School District,

am submitting this letter of intent to participate in the Artists of the 21

Century: Student Art Exhibition.

I acknowledge that I have read and agree to abide by the guidelinesasthey

pertain to the Student Art Exhibition and SAMA regulations. I understand if

the guidelines are notmet for any object, that object will be excluded from

the exhibition.

Authorized signature:

_____________________________________________ Date:_________

Agreement of Responsibility

The Southern Alleghenies Museum of Art will take the appropriate measures

to insure the safety of the artworkduring installation and while on display.

Any loss OR damage to the artwork is NOT the financial responsibility of

the Museum.

I verify that I have read and understand the above statement:

_____________________________________________ Date:_________

This form is to be mailed to Bobby Moore, Registrar, SAMA, Post Office Box Nine,

Loretto, PA 15940. All letters must received by December 14, 2012. NO FAXES

PLEASE.