I, (print name)____________________________________, hereby release the UCLA Library from any and all liability claims due to damage or theft of my displayed art works in the Powell Library Building. I understand that the art works are to be displayed in a public area and not in protected circumstances.
_________________________________________
Signature of artist
_________________________
Date Please print, SIGN & send form to:
Mail on-campus:
College Library Exhibits Committee
220 Powell Building 145004
Mail off-campus:
UCLA College Library Exhibits Committee
220 Powell Building
Box 951450
Los Angeles, CA 90095-1450
or Fax: (310) 206-9312
Updated December 20, 1999