I, _____________________________, hereby authorize and consent to the use of my visual
image by the State of Washington for appropriate purposes, including but not limited to: still
photography, videotape, electronic and print publications, and websites. I give this consent
with no claim for payment.
Phone________________________________________(in case we need to contact you).
For a child under18 years of age,
complete the form below.
I, _____________________________, Parent/Guardian of ____________________ hereby
authorize and consent to the use of his/her visual image by the State of Washington for
appropriate purposes, including but not limited to: still photography, videotape, electronic
and print publications and websites. I give this consent with no claim for payment.
Phone_________________________________________ (in case we need to contact you).
DNR Policy on Publication of Photographs
A signed release must be obtained from every subject photographed, with the following two
Adults attending a public meeting, event, or gathering
Employees of the Washington State Department of Natural Resources
For children enrolled in grades K-12, the release must be signed by a parent or guardian.
Ordinarily, for school-connected activities, the parents sign a blanket release that is kept on file
at the school. It is our responsibility to confirm this with the teacher, school, or organization in
every case of a field trip, volunteer activity, or situation that we might want to photograph; and,
if there is no release on file, we must obtain individual releases and keep them permanently on
DNR Communications May 2016
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