Fillable Artwork Release Form

Artwork Release Template

This Artwork Release is designed for use in [State Name] and complies with applicable state laws related to artistic and intellectual property rights.

Artist Information:

• Name: _____________________________
• Address: ___________________________
• Email: _____________________________
• Phone: _____________________________

Artwork Information:

• Title of Artwork: _______________________
• Date of Creation: ______________________
• Medium: _______________________________
• Dimensions: ___________________________

The undersigned artist hereby grants permission for the use, reproduction, and display of the abovementioned artwork under the following terms:

1. The artwork may be used for non-commercial purposes such as exhibitions, promotional materials, and educational purposes.
2. The artist retains all rights to the original artwork, including the right to sell, display, and license the artwork to others.
3. The artist must be credited appropriately whenever the artwork is used publicly.
4. The art may not be modified in any way without prior written consent from the artist.

Signature of Artist: ____________________________

Date: ____________________________

If applicable, the undersigned recipient acknowledges acceptance of these terms:

Recipient Information:

• Name: _____________________________
• Organization (if any): ________________
• Address: ___________________________
• Email: _____________________________
• Phone: _____________________________

Signature of Recipient: ____________________________

Date: ____________________________