Art Exhibit Application
You can print this application and bring the completed form to the
Community Service Office or stop in and pick one up.

Applicant or Organizational Information:

Name: _______________________________________

Address: _____________________________________

Phone Number: ____________

E-Mail Address: _______________________________

Exhibit Information:

Exhibit space requested: ________________________

Beginning Date of Exhibit: _______________________

Ending Date of Exhibit: _________________________

In consideration of permitting my property to be exhibited at the Plainview-Old Bethpage Public Library, I hereby agree that neither the LIbrary nor its Trustees, agents or employees shall be liable for: (1) any theft or damage, by whomever or however caused, or failure to exhibit, store, move or remove my property; or (2) any injury I may sustain to any degree attributable to or in any way relative to, the exhibition of my property.

I represent that the exhibition of my property is not prohibited or restricted in any way, and that title to it shall not be transferred before its removal from the Library. I agree to indemnify and hold harmless the Library, its Trustees, agents and employees concerning any claim or action against any of them because of my property and/or its exhibition.

I agree to observe the Regulations Governing the use of the Exhibit Space

Please return this application along with at least five (5) slides or color photographs that agree representative of the current exhibit.

Applicant's Agreement:

Applicant's signature: ______________________________

Organizational Title: _______________________________

For Office Use Only:
The above application is: ____Approved  ___Disapproved Date: _________

Signed: _______________________________ Title: ________________