ENTRY FORM

BOTANICAL ART AND ILLUSTRATION STUDENT ART EXHIBITION

OCTOBER 9 – NOVEMBER 7, 2010

ARTIST NAME:_______________________________________________________________

ADDRESS:__________________________________________________________________

CITY:___________________________________ STATE:
_______________

ZIP CODE: ________________ PHONE:______________________________

E-MAIL:____________________________________________________________________

ARTWORK TITLE:____________________________________________________________

MEDIUM:____________________________

FOR SALE: ❑ YES ❑ NO PRICE: $ _________

I hereby freely grant Denver Botanic Gardens and its representative’s permission to hang the
above named artwork during the 2010 Botanical Art and Illustration Student Art exhibit at
Denver Botanic Gardens, and permission to publish photographs taken of my original artwork,
which must include artist credits whenever used, for editorial, advertising, commercial,
educational or display purposes