I/we hereby authorize MCF, MDOD, MSDE, and MHAMD to use the artwork of [stated artist] for the purpose of raising awareness of children's mental health and sharing the work of children and youth. Any additional use of the art outside of the purpose stated, will not be permitted without my/our authorization.
In consenting to the use of the art, I/we agree to hold MCF, MDOD, MSDE, and MHAMD harmless and hereby release the organizations and directors, officers, agents, employees from any liability arising, in whole or in part, from any potential claims I/we may have as a result of the use of the artwork.
In granting permission, I agree to the following:
• Allow the artwork to be used by the Children’s Mental Health Matters! Campaign in print, online, and displayed for Campaign awareness materials that will be distributed throughout the state in celebration of Children’s Mental Health Awareness Week
• Allow the artist’s first name, age and school name only to be used to label artwork chosen for display online or in the gallery
• Allow the artist’s photograph/image to be used in Campaign, MCF, MSDE, MDOD, and/or MHAMD materials.
• Allow the artwork to be retained by the campaign for future publicity surrounding mental health awareness
The Campaign, MCF, MDOD, MSDE and MHAMD will not disclose any additional information about the artist or their family unless the family grants specific permission for an interview or article.