Internet Publication Consent Form

[ Gallery ]

The following consent form in Japanese was given to the students whose artwork was selected for publication. A copy of the signed form was returned to the students.
-M. Taylor

Internet Publication Consent Form

I hereby allow my artwork and name to be published on the Internet.

Name  _____________________

Title of artwork _____________________

Date　_____year　_____month　_____day

Location on the Internet:
www.hyogo-edu.yashiro.hyogo.jp/~kato-bo/events/art/galleryJ.html
www.ceser.hyogo-u.ac.jp/KatoK12/events/art/galleryJ.html
(Note: Location is subject to change.)