Standard Photo Release Form For Minor Subjects - County Of Sonoma

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COUNTY OF SONOMA
STANDARD PHOTO RELEASE FORM FOR MINOR SUBJECTS
Participant’s Name: ____________________________________________________
I hereby authorize the County of Sonoma and all its departments, agencies, commissions and special
districts and their employees (“the County of Sonoma”), to publish the photographs and/or videos taken
of the minor(s) named below on whose behalf I am signing, and to use said minor(s)’ names in the
County’s printed publications, websites, social media channels and other similar media.
I acknowledge that since my child(s)’ participation in publications and websites produced by
the County of Sonoma is voluntary, I hereby agree not to make any claim for compensation for the use
of my child(s)’ image and/or voice and/or words.
I further agree that my child(s)’ participation in any publication and website produced by the County
of Sonoma confers upon me no rights of ownership whatsoever. On behalf of myself and my child/
children, I agree to release and hold harmless the County of Sonoma, its contractors and its employees
from liability for any claims by me or on behalf of my child/children or any third party, arising out of or in
connection with the foregoing, and waive any right to inspect or approve the same.
I have read this minor Child Photo Release Form and voluntarily accept the terms and conditions set
forth herein. I hereby certify that I am the parent or guardian of the minor child/children named below,
and I have the legal authority to execute this Release on behalf of the child/children.
Minor’s Name(s): _____________________________________________________
Name of Parent or Guardian: ____________________________________________
Signature of Parent or Guardian of Minor Subject:____________________________
Date: _______________________________________________________________
Street Address: _______________________________________________________
City, State, Zip: _______________________________________________________
Email Address: _______________________________________________________
Phone Number: _______________________________________________________
Date and Location of Photo/Event and Photo #: ______________________________

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