RFA VISUAL ARTS SCHOLARSHIP ENTRY FORM Your full name (First Last)*Street AddressCityCountyZipEmail Address* Mobile Phone*Social Security (last 4 digits)*Parent's Name*Parent's Email* Parent's Cell*High School you are graduating from*College/University you plan to attend*RELEASE: By submitting your image(s) to Rocklin Fine Arts for entry in the 2024 Rocklin Fine Arts Student Show, you grant permission to Rocklin Fine Arts to display your images online and to use your name and artwork to promote the 2024 RFA Student Show on websites including, but not limited to, Rocklin Fine Arts, Instagram, and Facebook, and in printed or televised promotions.RELEASE DISCLAIMER 1* By checking this box I, the parent, acknowledge that I have read and agree. RELEASE: By submitting your artwork to Rocklin Fine Arts for entry in the 2024 Rocklin Fine Arts Student Show, you hereby waive, release, and discharge any and all claims for damages against Rocklin Fine Arts (RFA) for any personal injury and any damage to your works of art. This release is intended to discharge Rocklin Fine Arts, its officers and volunteers and any other involved public agencies from and against any and all liability arising out of or connecting in any way with the participation in related RFA activities. In addition, you agree to indemnity and hold harmless RFA and its officers, employees, and volunteers from and against all claims, damages, losses, and expenses including attorney fees arising out of your participation in RFA activities.RELEASE DISCLAIMER 2* By checking this box I, the parent, acknowledge that I have read and agree. DELIVERY OF ART WORK:I (or my parents) will deliver my art in person on Thursday April 18th between 3 and 6 PM to Springview Hall Community Center 5480 5th St. Rocklin at Johnson Springview Park.ART WORK DELIVERY* By checking this box i agree to the delivery of the artwork ARTIST*TITLE*MEDIUM*SHORT DESCRIPTION (no special characters)SELECT CATEGORY*SELECT CATEGORY OIL ACRYLIC WATERCOLOR PASTEL PENCIL MIXED MEDIA CHARCOAL PEN & INK COLORED PENCIL ALCOHOL INK ENCAUSTIC CASEIN PHOTOGRAPHY DIGITALLY-CREATED ART DIGITALLY ALTERED PHOTOGRAPHY FIBER ART CERAMIC FUSED & BLOWN GLASS 3D & SCULPTURE ENTRY WIDTH IN INCHES*Please enter a number greater than or equal to 1.ENTRY HEIGHT IN INCHES*Please enter a number greater than or equal to 1.Upload Image (.jpg or .png)*Accepted file types: jpg, jpeg, png, Max. file size: 2 GB.Upload Essay (.pdf)*Accepted file types: pdf, Max. file size: 2 MB.