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Photo Release Form

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!

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). ...

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For a child under 18 years of age, complete the form below ...

file.dnr.wa.gov

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