Fillable Printable Photography Consent Form / Release

Photography Consent Form / Release

PHOTOGRAPHY CONSENT FORM / RELEASE

I, (print name)_____________________________________, hereby grant permission to Science

Education Foundation of Indiana representatives, to take and use: photographs and/or digital

images of me for use in news releases and/or educational materials. These materials might

include printed or electronic publications, Web sites or other electronic communications. I further

agree that my name and identity may be revealed in descriptive text or commentary in connection

with the image(s). I authorize the use of these images without compensation to me. All negatives,

prints, digital reproductions shall be the property of Science Education Foundation of Indiana.

______________________________________________

(Date)

______________________________________________

(Signature of adult subject)

______________________________________________

(Address)

______________________________________________

(City, State, Zip)

RELEASE FOR MINOR CHILDREN (Under 18)

I, (print name)_________________________________________, parent or

official guardian of (child’s name)________________________________hereby grant permission

to Science Education Foundation of Indiana representatives, to take and use: photographs and/or

digital images of my child for use in news releases and/or educational materials as follows:

printed publications or materials, electronic publications, or Web sites. I agree that my child’s

name and identity: may be revealed in descriptive text or commentary in connection with the

image(s). I authorize the use of these images without compensation to me. All negatives, prints,

digital reproductions and shall be the property of Science Education Foundation of Indiana.

___________________________________________

(Date)

___________________________________________

(Signature of Parent or Guardian)

___________________________________________

(Address)

___________________________________________

(City, State, Zip)