Photo Release Form
Print and bring bottom portion signed to the next meeting
PRECIOUS PAWS 4-H CLUB
Permission Form for Use of Minor’s Picture On the Internet
Web Site: http://www.geocities.com/ppawsclub/
The Precious Paws 4-H Club has created a website to promote the
club and provide you with information throughout the year. We
would like to include photographs of your children and their
dogs for use on this site. In order to do this, we need you to
sign the below form and return it as soon as possible. Only
first names will be posted along with the photos if names are
posted at all.
This permission will stay in effect until cancelled by the
parent or guardian. If you wish to cancel your permission, and have
your child's picture(s) removed, please contact Rebecca Graham at
[email protected] or (360)652-8409.
CUT------------------------------------------CUT
PRECIOUS PAWS 4-H CLUB
Permission Form for Use of Minor’s Picture On the Internet
Web Site: http://www.geocities.com/ppawsclub/
As the parent or legal guardian, I allow Precious Paws 4-H
permission to use my child's picture on the club website on the
Internet. I understand that at any time, I may have my child's
picture removed by contacting the Club leaders.
By checking both, first names and photos are allowed to be used on
the site. Should you select yes for only the picture, no name will
be included with your child’s picture. By selecting yes for only
the name release, your child’s first name and first initial of
their last needed if needed to distinguish kids will be posted
with show results but no pictures will be included.
Yes_____ No_____ I authorize the release of my child's
picture to be used on the web site.
Yes_____ No_____ I authorize the release of my child's
first name to be included on the web page as well
as the first initial of their last name.
Member Name__________________________________________________
Parent/Guardian Name ________________________________________
Parent/Guardian Signature ______________________ Date ______