2021 modern masters of america fine art piece description and student parent release forms Name of Student Artist: Student Age: Student Email: Student Cell #: School: Teacher: Title of Artwork: Medium: Brief Description of how the piece addresses the curriculum: Artist statement of 1 paragraph that tells us something interesting about the artist, and relates the artist’s thoughts behind the artwork: I certify that this work of art is my original work and that it was created as a part of my school curriculum. By submitting my art in this contest, I give permission for my headshot to be displayed beside my artwork while on display, and for my artwork to be reproduced and used for educational and promotional purposes related to the Operation Protect and Defend program. I give permission for my work, and any photos taken of me or my work, to be reprinted and used for educational and promotional purposes. I understand that if I do not claim my artwork after the competition is over it will become the property of OPD and may be discarded. Student Signature: Date: Parental Release: I give permission for the Operation Protect and Defend program to publish photographs taken of me and/or my minor child, their art, and our names, for educational and promotional purposes. I release the Operation Protect and Defend program from any expectation of confidentiality for my minor child and myself. I attest that I am the parent or legal guardian of the child listed below and am therefore authorized to sign this release. I acknowledge that participation in publications and website produced by the Operation Protect and Defend program confers no rights of ownership. I release Operation Protect and Defend from liability for any claims by me or any third party in connection with my participation or the participation of the minor child. Name of Parent or Legal Guardian: Signature: Date: Phone Number: Please attach a head shot (required) You may attach up to 6 pictures of your artwork. Picture #1 (required) Picture #2 Picture #3 Picture #4 Picture #5 Picture #6 Please check box then submit Submit Reset Winning pieces be displayed at the Sacramento Federal Judicial Library and Learning Center located at The Robert T. Matsui U.S. Courthouse, 501 I Street, Room 4-200, Sacramento, CA 95814.