Name *

First Name

Last Name

Do you grant Ink + Light Creative and NOFA permission to use your image for an art project? *

The community art project will likely be a small book with images of participants, names, and responses to the question above.

Yes, I grant my permission.

No, I do not grant my permission.

Do you grant Ink + Light and NOFA permission to use your image for promotional materials, in web and print outlets? *

Yes, I grant my permission.

No, I do not grant my permission.