Fillable Photo Permission And Release Form printable pdf download

Photo Permission And Release Form

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PHOTO PERMISSION AND RELEASE FORM

2014-2015

(Photograph/Video/Film, Project/School Website)

I, _______________________________________________________

Parent/Guardian

Authorize: ________________________________________________

Child/ren Name

Grade (s):_________________________________________________

to have his/her pictures/video be used for the yearbook, newsletters,

website, end of the year video or for any advertising purposes related to

All Souls Catholic School.

I specifically understand that All Souls Catholic School shall hereby

retain any and all rights in the photograph(s) and/or video/film

production and/or school website, including but not limited to the rights

to reproduce, copy, edit, exhibit, publish, or distribute such photograph(s)

and/or video/film and/or school website

PARENT OR GUARDIAN

SIGNATURE: ___________________________________

DATE: ____________________________________

479 M iller A ve, S outh S an F rancisco, C A. 9 4080

Phone: 6 50 5 83 3 562 F ax: 6 50 9 52 1 167

Email: i W eb: w

ww.ssfallsoulsschool.org

Photo Permission And Release Form

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