R. P. Flower Memorial Library
229 Washington Street, Watertown, New York 13601

Flower Memorial Library Display and Exhibit Release

I, the undersigned, hereby lend the following works of art or other material to the Flower Memorial Library for exhibit purposes only.

In consideration of the privilege of exhibiting them in the Library, I hereby release said Library from responsibility for loss, damage,

or destruction while they are in the possession of the Library.

Exhibition to be held in the __________________________________

During___________________________________________________

Description of materials loaned_______________________________

Signature__________________________________Date________________

Address__________________________________Telephone_____________