The Great Barrington Libraries Display and Exhibit Release

Exhibit to be held in ________________________________________

Dates ____________________

I, ________________________________ hereby lend the following works of art or other

material to the Great Barrington Libraries for exhibit purposes only. In consideration of

the privilege of exhibiting them in the Library, I hereby release said Gt. Barrington

Libraries, the Town of Great Barrington and employees thereof from responsibility for

any loss, damage, or destruction while they are in the possession of the library.

Description of materials on display __________________________________________

________________________________________________________________________

Signature _______________________________________ Date____________________

Address________________________________________Telephone_________________