Photo Release Form - North Star Therapy Animals printable pdf download

Photo Release Form - North Star Therapy Animals

Photo Release Form

I, the undersigned, give permission to North Star Therapy Animals to copy and use the photo(s) of

_______________________________________________ in promotional materials and on the internet

(Printed name of person in photo(s))

for an indefinite time. The general purpose of these materials is to promote the benefits of animal therapy.

I understand that any materials put on the internet have limited protection from being copied by anyone

viewing the material.

_____________________________________

________________________________

Signature of person in photo(s)

Date

E-mail address: ____________________________________________

( )

I am the parent or legal guardian of the person in photo(s)

_____________________________________

_________________________________

Printed name of parent or legal guardian

Date

_____________________________________

Signature of parent or legal guardian

E-mail address: _____________________________________________

*************************************************************************************

NSTA Member-Use Only:

Complete this section and email the form and photo(s) to:

webmaster@northstartherapyanimals.or g

Event/Facility: ______________________________________ Date of photo(s): __________________

Brief description of photo(s): ____________________________________________________________

_____________________________________________________________________________________

Your name: _________________________________________

Email address: _______________________________________

Photo Release Form - North Star Therapy Animals