Please ClickHereToPrintThisReleaseForm and then sign and mail with the appropriate fee(s) to:

	Art on the Half Shell Festival Foundation P.O. Box 244 Wake, Virginia 23176

Patricia Hunt, Artist Coordinator,

I understand that the Art on the Half Shell Festival Foundation is not liable for loss or damage to artwork and personal injury. I will not be a part of any legal action against the Art on the Half Shell Festival Foundation or its personnel. My submissions of this release form shall constitute agreement to comply with all conditions set forth in the information within the Art on The Half Shell Festival Foundation Website. Permission to photograph and reproduce any accepted works for publicity is granted unless otherwise stated in writing.

Signature: ___________________________________________ Date: ________________

Please Print Name: __________________________________________

$25.00 Jury Fee Included   Yes ___   No ___

If No, please Explain ** ______________________________________________________________

___ I understand the fee per space is $100.00 and is due no later than 15 days after my Acceptance Letter Email date and the fee is nonrefundable after April 15, 2012.

** If Pre-jury has occurred, AOTHSFF Staff Name or Pre-juried card must be included.