Photo Release Form

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.



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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 ______