Your Name (required)
Address Line 2
Your Email (required)
Number of pieces in your nativity
Small (up to 12″) Medium (12″ to 24″) Large (24″ to 36″)
Please describe your piece in the space below. This information will be printed and placed next to your nativity during the exhibit. (i.e. artist (age of artist if handmade), collections, family heirloom, history, homemade, culture, origin, gift, age, construction material, etc.)
I am the owner of the Nativity listed above. I am voluntarily lending this item to the “Wichita Nativity” exhibit. I understand that the exhibition will be operated by volunteers and is not insured. Therefore, I understand and agree that The Church of Jesus Christ of Latter-day Saints, its officers and members (collectively “The Church”) shall have no responsibility for my nativity being damaged or lost. I understand and agree that if my nativity is damaged, destroyed or stolen, I will not hold The Church of Jesus Christ of Latter-day Saints responsible for these actions, caused by any action, suits, claims, and demands whatever happens. IN WITNESS WHEREOF, I have executed this Waiver and Release.