ENTRY FORM
BOTANICAL ART AND ILLUSTRATION STUDENT ART SHOW SEPTEMBER 26 – NOVEMBER 8, 2009 ARTIST NAME:_______________________________________________________________ ADDRESS:__________________________________________________________________ CITY:___________________________________ ZIP CODE: ________________
STATE: _______________
PHONE:______________________________
E-MAIL:____________________________________________________________________ ARTWORK TITLE:____________________________________________________________ _______________________________________MEDIUM:____________________________ FOR SALE: ❑ YES ❑ NO PRICE: $ _________ I hereby freely grant Denver Botanic Gardens and its representatives permission to hang the above named artwork during the 2009 Certificate in Botanical Art and Illustration Show at Denver Botanic Gardens and permission to publish photographs taken of my original artwork for editorial, advertising, commercial, educational or display purposes.