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MunchkinMinder
03-01-2013, 11:12 AM
I'm updating my day home website and am wanting to include a few pictures of the kids doing various activities. I do want to get written consent from the parents and assure them the pictures will only be used while the child is in care with me. Does anyone have a photo release form they would be willing to share with me? TIA

dodge__driver11
03-01-2013, 11:23 AM
____________________ ______

Photo/Video/Audio/Correspondence Consent Form


We sometimes take photographs, audio or video footage for publicity and/or advertising purposes. Also any letters, e-mail and other written material made from you and addressed to us such as letters of recommendations, testimonials about our program etc. may also be used. These may appear in our printed publications, on our website etc. We may also send them to the news media. Before taking any pictures, audio or video footage or using written correspondence for these purposes, we need your permission. Please read and sign the form below where shown.

Photo/Video/Audio/Correspondence Consent Form


I/we, being the parent(s)/legal guardian(s) of ___________, do hereby consent to the use of photos, video or audio recordings of of my child for _________________pro motion, including (but not limited to) print, audio, video and web promotion. I/ we also agree that any writing or other material in connection with __________________(i ncluding any correspondence from our family) may be used in promotional materials.

I/we agree that all such portraits, pictures, photographs, video and audio recordings shall remain the property of ___________________, unless otherwise noted. In addition, I waive all claims to compensation or damages based on the used of my or my child's image, correspondence or voice, by ________________. I/we also waive the right to inspect or approve the finished product.

I/we understand that this consent is perpetual, that I/we may not revoke it, and that it is binding. I/we warrant that I am/we are at least 18 years of age and that I am/we are competent in my/our own name(s) insofar as this consent is concerned. I/we further attest that I/we have read this consent form and fully understand it's contents.

Signature of Parent(s):__________ ____________________ ____ Date:
Print Name of Parent(s): ____________________ _________________Dat e:


Name of Child:______________ ____________________ ___________

Conditions of use:
1. ____________________ _ will not include full names (which means first AND last name) of any child or adult in an image or video, on our websites, or printed publications.
2. We will only use the images of children who are suitably dressed.
3. We will not include personal information of the children or adults such as e-mail, postal address, and telephone or fax numbers on our video, websites or printed publications.

Signature of Provider____________ ____________________ _____________: Date:
Printed Name of Provider: _________________

dodge__driver11
03-01-2013, 11:24 AM
not sure what's up with some of the spaces, I didn't put them there, you are welcomed to use this though

MunchkinMinder
03-01-2013, 11:30 AM
Thank you so much, I really appreciate it :)

dodge__driver11
03-01-2013, 11:45 AM
np :) :) Have a good friday!