Elementary Visual School Arts

WINSTON-SALEM/FORSYTH COUNTY SCHOOLS

Artwork Release Form

Student Name ____

Age ____ Grade ____ Art Class (H.S.) __

Title of Work _____

Media __

Size ____

Teacher _____

School __

Information to note about this work:

I give permission for WS/FCS to use my child’s artwork, or image of the artwork,
in school system displays or publications, including but not limited to: gallery
displays, school newspapers, video productions and/or web-pages, sponsored by
the Winston-Salem/Forsyth County Schools or my child’s school.

Parent or Guardian signature: ___

(print name)