Permission to Photograph

I,

____________________ ____________________ ____________________ _________
(parent’s or guardian’s name)
give permission for

(type in your daycare name: your full name)

to photograph my child,
____________________ ____________________ ____________________ _________
(child’s name)

for the following purposes:

Type of Use: (Please check one)
Grant Permission Decline Permission
Still Photographs:
Display in provider’s personal scrapbook
Give photographs to current clients
Display in facility’s scrapbook or bulletin boards,
shown to current and prospective clients
Display still photos on facility’s website *
Use still photos in promotional materials

Videos:
Give video to current parents
Display video on facility website
Use videos in promotional materials
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.

I would not like my child to be photographed at all ______

Signed:
____________________ ____________________ ____________________ ________
(parent or guardian signature, and date)



I got this from THE DAYCARE LADY website. http://www.thedaycarelady.com