BREAKTHROUGH Art Festival Artist Registration Form

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Thank you for your interest in the BREAKTHROUGH Art Festival! Please fill out this form before you begin your artwork. If the form isn't working for you, ensure you're using Google Chrome, or just email your details to christine.chen@nswcc.org.au

Canvas Number(s) *

It's on the back bottom left hand corner of your canvas! If you bought your own canvas or are mounting your own artwork, write N/A

Full Name *

School Name

Address

Email Address *

Mobile *

Online Links

Include any website or social media links you would want us to include on the BREAKTHROUGH website.

Creative Team Member Contact *

Who gave you the canvas?

Angie

Becky

Brooke

Christine

Cosie

Georgina

Jessie

Karen

Louisa

Liz

Marika

Nikki

Pascale

Patrick

Paula

Romny

Roxy

Sara

Other:

How will you return your completed canvas? *

Anything else?

[Please put in your artwork name here!] This can be a comment about storage, about the artwork, a question - anything!

Please tick the box to confirm that you agree to the following statement. *

I agree to create and donate an original artwork (the 'Work') to Cancer Council NSW to be exhibited and sold as part of the BREAKTHROUGH Art Festival. I hereby assign copyright in the Work to Cancer Council NSW, and acknowledge that I will receive no royalties or sale proceeds in connection with the sale or exhibition of the Work. In the event that the Work is not sold as part of the BREAKTHROUGH Art Festival, I agree that Cancer Council NSW will retain the Work and may use it for any purpose.

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