Photo Permission Form

Hands that help…
Minds that learn…
Communities that benefit!

I hereby authorize ___________________ to use any photographs, in which my child or minor under my care is involved. These photos may be used for lawful distribution and dissemination to the public.

I hereby release and discharge ___________________ from any and all claims arising out of the use of these photos, or any right that I, or the minor under my legal care, may have to the photos or their use.

I __________________________________________ am of full age, and am able to contract for the minor in the above regard. I have read this document and fully understand its contents.

Name of Minor: ____________________________________________
Address of Minor: __________________________________________
________________________________________________________
Name of Adult: _____________________________________________
Address of Adult: ___________________________________________
_________________________________________________________
Relation to Minor: ___________________________________________
Signature of Adult: __________________________________________
Date: _______