Want to send me your pictures? It's easy.

Get yourself a regular piece of paper. Use one that's 8.5 by 11 inches, like the ones you might put in your printer.

When it's done, mail it to me:

Polly Ester Clown - ART WALL

P. O. Box 2963

Pocatello, Idaho  83201

P.S. When you finish your picture ask your mom or dad to sign this form and put it in the envelope, too.

PRINT THIS OUT OR MAKE A COPY OF IT

Permission to publish my artwork


Print Your Name: __________________________________________

Your Age (optional): ______

Title of Your Artwork: ____________________________________



POLLY ESTER CLOWN shall have the right to use the Artwork

 
I am sending to you, with my name (just my first name and

 
last initial), as part of the POLLY ESTER CLOWNS on-line 

site, and in related materials and activities, as Polly Ester

Clown and Friends reasonably determines. 


Signature: ________________________________________________

Date: _____________________________________________________



As a parent or guardian of the minor who has signed above, 
I agree to the above terms:


Printed Name: _____________________________________________

Signature: ________________________________________________

Address: __________________________________________________

E-mail address:  __________________________________________

Date: _____________________________________________________


* Addresses provided so that we may contact you, not for 
use on the Polly Ester Clown Website.


When you've got the form signed and the picture ready, 
put them in a big enough envelope so that you don't have to 
fold them.  This will prevent any marks when using the copier.