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.