I, (print name)____________________________________, hereby release the S.E Wimberly Library and Florida Atlantic University from any and all liability claims due to damage or theft of my displayed materials in the S.E. Wimberly Library Building. I understand that materials are to be displayed in a public area and not in protected circumstances.

 Brief description of exhibit's educational content and purpose:

_______________________________________________

_______________________________________________

_______________________________________________

I declare that I have read and understood the Florida Atlantic University Exhibit Policy. I also declare that, as an exhibitor
I will abide by the terms outlined in this policy.

_________________________________________
Signature of exhibitor

_________________________
Date

Please print, SIGN & send form to:

Mail on-campus:
Florida Atlantic University Library Exhibits Committee
LY 3 Wimberly Library 149

Mail off-campus:
Florida Atlantic University Library Exhibits Committee
LY 3 S.E. Wimberly Library 149
Boca Raton, FL 33431-0991

or Fax: (561) 297-2105

Updated September 11, 2006