North Van City Mosaic, participation form

    Thank you for participating in the North Van City Mosaic, you rock!

    Please fill out this form.

    By checking “Yes”, I give permission to “North Van City Mosaic, Collective Art project” to use
    and modify the image and comments (the “Content”) I am sending in the collective art work.
    I am giving the right to display, use, publish the Content for commercial or exhibition purposes. I also consent to the Content being included as part of “North Van City Mosaic” digital or printed Artwork.