Please complete the online Participant Profile Waiver

Name *

Date of Birth (you can type mm/dd/yyyy) *

Email *

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Preferred Phone number *

Found ArtSeed from/Referred by:

Emergency Contact Person/Parent name *

Email *

Phone *

Will you volunteer or is it paid work you want?

VolunteerPaid WorkEither of the two

What do you hope to gain from this experience?

Please select all your special interests

general office assistance/data entrygrant writingfundraising and event planningteaching and teaching assistantshipsaccounting or financial advicemailings/brainstormingpublic relationsphotography and documentationhandy person/transportationtransportation of participants and suppliesgraphic design/websiteart-a-thon commitmentexhibit art/help with installationsfine arts summer intensive commitmentmentoring

Describe other interests and background (or the art you can display)

How many hours a week/month are you available?

Please select best days of the week for you

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Please indicate your best hours of the day

Preferred timeline starts on (you can type mm/dd/yyyy)

and ends on (you can type mm/dd/yyyy)

Please provide two references

Please include their email, telephone number, address and your relationship with them.

Your Participation in an ArtSeed project means that you have signed a photo waiver and you agree to:

1) Provide a resume and two reference contacts

2) Check with ArtSeed before publishing/publicly displaying any part of any creative material made with us

3) Let ArtSeed publish in print or online photographs of you & your art or make copies of, and sell your art to benefit ArtSeed (unless it is loaned or a commission is discussed), and any art of yours unclaimed after exhibition becomes property of ArtSeed

4) Read and sign this Artist Agreement and the General Release of Liability Agreement below

General Release of Liability The undersigned agrees to release, waive, discharge, and hold harmless ArtSeed, its directors, officers, employees, and agents from any and all claims, suits, losses, or related causes of action for damages, including but not limited to such claims that may relate to any injury or death, illness, accident or any loss or damage to personal property or otherwise, during or arising in any way from participation in the ArtSeed program.

I acknowledge that this general release of liability of ArtSeed is binding on me personally and on my heirs, personal representatives, successors, and assigns. I have read and agree to the general release of liability. (Please enter your name) *

Date *

Please complete the online Participant Profile Waiver

ArtSeed Participant Profile Waiver Profile Form

Verification