Permission To Photograph To Child Care Provider printable pdf download

Permission To Photograph To Child Care Provider

Permission to Photograph

I, ________________________, give permission for ________________________ to

(Parent or Guardian name)

(Child Care Provider)

photograph my child, ________________________, for the following purposes:

(Child’s name)

(Please check one)

Type of Use:

Grant Permission

Decline Permission

Still Photographs:

Display in my personal scrapbook

Give photographs possibly containing your

child to current clients

Display in facility’s scrapbook or bulletin

boards, shown to current and prospective

clients

Display still photos on child care website*

Post photos on child care’s Facebook

page

Other:

Videos:

Give video to current parents

YouTube™ promotional video

Other:

Other (please list):

*Only first names and possibly last initials (in the event of two or more children with the

same first name) will be displayed on the facility website.

I understand that it is my responsibility to update this form in the event that I no longer

wish to authorize one or more of the above uses. I agree that this form will remain in

effect during the term of my child’s enrollment.

Signed:

_____________________________________________

________________

(Parent or Guardian signature)

(Date)

Permission To Photograph To Child Care Provider