Click here for Printer Friendly PDF Version

 

Photo Release

 

Youth name:            ______________________________________________________________

 

Parent/Guardian Name:       ________________________________________________________

 

Address:                _______________________________________________________________

 

Day phone:           _________________________ email: _________________________________

 

 

Parental Agreement:

 

I, being the parent/guardian of ____________________________________, hereby consent that the photographs/artwork/videotapes/electronic representations and/or sound recordings of my child may be used by P.R.A.Y. for promotional purposes, including use on the P.R.A.Y. website. Furthermore, I hereby consent that such photographs/artwork/videotapes/electronic representations and/or sound recordings shall be the property of P.R.A.Y. They shall have the right to duplicate, reproduce and make other uses of such photographs/artwork/videotapes/electronic representations and/or sound recordings as they desire free and clear of any claim whatsoever on my part.

 

 

 

Signature of parent/guardian: ______________________________________ Date ________________