Photo Release Form - American Library Association
Your
Library or Institution’s
Letterhead
PHOTO RELEASE FORM
I hereby grant permission to (your library’s name) to use photographs and/or video of me taken on (date) at (location) in publications, news releases, online, and in other communications related to the mission of (your library or institution’s name).
(Signature of Adult, or Guardian of Children under age 18)
Name
Address
Phone (day) (evening)
Email Address (optional)
Thank you!
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