I hereby grant the use of my arts expression and associated information as defined by the purposes above to Laury Rappaport and the Focusing and Expressive Arts Institute in perpetuity.  I give express consent to the altering or editing of the aforementioned work for editorial purposes and waive the right to inspection or approval of the finished product.  I attest that I have voluntarily provided my artwork in accordance with the agreed upon conditions in this release form.  I acknowledge that once I sign and submit this form, I will have three (3) days to withdraw my consent.