Acknowledgment of Terms

Note: to be completed upon approval to display artwork.

Requested location to have artwork displayed:
I acknowledge the following:
Insurance Coverage provided through my homeowner's insurance:
Clear

Parent/Guardian (if individual is under 18 years of age):

Clear

Personal information is collected under the authority of the Municipal Act, S.O. 2001, for the purpose of creating a record to be used for the public display of art on Municipal property.  Questions about this collection should be directed to the Clerk of the Municipality of Kincardine at 1475 Concession 5, RR #5, Kincardine ON N2Z 2X6, or by phone at (519) 396-3468.



Contact(s)