Photography Consent Form Template

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S
AMPLE
Photography Consent Form
Dear Parent/Guardian
As the parent of a child/children at ________________________, I agree to the following:
I understand that my child(ren) whose name(s) are listed below may be photographed at
__________________________during normal daycare hours, field trips, or activities. I
understand that these photographs may be used in promoting child care services, either in
print or on the Internet.
Parent/Guardian Name
Relationship To Child
Child 1Name
Child 2 Name
Child 3 Name
Address
City
State
Zip
I give permission for my child(ren) to be photographed, or their images recorded for print or electronic use in
promoting our child care services. I understand that it is my responsibility to update this form in the event that I
no longer wish to authorize the above uses. I agree that this form will remain in effect during the term of my
child’s enrollment. I understand that there will be no payment for me or my child’s participation.
Parent/Guardian Signature
Date

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