Artis Name

First Name

Last Name

Consent to Share *

Consent and Terms of Submission: By signing below, I acknowledge and agree to the following terms: Voluntary Submission: I am voluntarily submitting my artwork for potential display on The G.Lee Club's website. I understand that submitting artwork is not mandatory, nor a requirement for participation in any therapy program. Ownership: I affirm that I am the original creator of the submitted artwork and hold all rights to the work. I retain full ownership and copyright of the artwork. I understand that The G.Lee Club does not claim ownership of the artwork, but I grant the club permission to display and use my artwork as outlined below. Display and Usage Rights: By submitting my artwork, I grant The G.Lee Club permission to: Display the artwork on its website and associated online platforms. Use the artwork in promotional materials related to The G.Lee Club, including but not limited to social media, newsletters, and marketing campaigns. Include the artwork in digital galleries or presentations that highlight the benefits of expressive art therapy. Anonymity and Privacy: I understand that I have the option to submit my artwork anonymously. If I choose to submit anonymously, The G.Lee Club will not include any identifying information (such as my name or personal details) alongside the artwork unless I provide explicit permission to do so. Modifications or Withdrawal of Consent: I understand that I may request the removal of my artwork from The G.Lee Club’s website at any time by contacting [insert email/contact info]. I also understand that once promotional materials are distributed, the artwork may not be removed from already printed or distributed items. No Compensation: I acknowledge that I will not receive any financial compensation for the submission or use of my artwork by The G.Lee Club. The display and use of the artwork are for non-commercial, therapeutic, and promotional purposes only. By signing below, I affirm that I have read, understood, and agree to the terms and conditions outlined in this Art Submission Consent Form.

First Name

Last Name

Minor Guardian

For Clients Under 18: If the client is under the age of 18, a parent or legal guardian must provide consent for the artwork submission. By signing below, I affirm that I have read, understood, and agree to the terms and conditions outlined in this Art Submission Consent Form.

First Name

Last Name

I wish to remain anonymous

Keep it private or share!

Yes, Keep it on the DL, I do not want my name shared.

Heck No! I want the "cloudt" and fame! Include my name on my piece.

I want to use a PEN name and will add it in my submission description!