Please enable JavaScript in your browser to complete this form.A&L Intake Form Template Please submit one work at a time using this form. The deadline for online intake is XXX. If you are unable to use the form below, please click here for a PDF version of the entry form. Bring a printout of the completed form with you to the club on intake. All works should be for sale, as this supports both the club and the artist. Works should be picked up on XXX during intake for the next exhibition.Artist InformationName *FirstLastEmail *Description of WorkTitle *Medium *E.g. oil on canvas, charcoal on newsprint, fired clay etc.2D or 3D work? *2D3DFor painting, drawing etc select 2D. For sculpture, ceramics, etc select 3DHeight *Height work in inches.Width *Width work in inches.Depth *Depth work in inches.Is this an original work or an edition? *OriginalEditionEdition number: *Please enter the total number of reproductions for this edition.Is this work for sale? *YesNoPrice *Please enter the price of the work in Canadian dollars; whole numbers only, no decimals please.Please direct inquiries to: *My email addressMy websiteThe Club officeWebsite *Legal1. I have signed the Club's Blanket Loan & Copyright Agreement. *YesNoPlease download the form here and submit to the Club office on intake.2. On the Blanket Loan & Copyright Agreement, I have consented to having my artwork shown on the Club's website and in the LAMPSletter. *YesNo3. I affirm that the work I am submitting for exhibition is my original work, not a copy, derivative, or based in any way on any other copyrighted or published images of other artistic work. 4. The work was not produced under instruction. 5. I understand that the Art Committee's decision regarding acceptance and exhibition of artwork is final. 6. Work not picked up immediately is stored temporarily in the Art Cupboard, accessible through the staff. Please sign in the Art Binder in the office once you have picked it up.Image UploadPlease upload a clear, high-resolution image of the work * Click or drag a file to this area to upload. Maximum file size 15MB. Accepted file types: .jpg / .jpeg / .tif. / .tiff / .pngI have verified that all above information is correct and ready to submit. *YesSubmit