Photography Permission Slip

SCLS Online PR toolkit

Sample Photo Permission Slip

Contact: Mark E. Ibach, Marketing & PR Coordinator (608) 246-5612

<LIBRARY NAME> Public Library
PHOTO PERMISSION SLIP / Date
I, ______, give permission to the
<LIBRARY NAME> Public LIbrary
to make or use pictures, slides, digital images, or other reproductions of me, of my minor child ______, or of materials owned by me or my child, and to put the finished pictures, slides, or images to use without compensation in productions, publications, on the web, or other printed or electronic materials related to the role and function of the <LIBRARY NAME> Public Library.
Address Street, City, State, ZIP
Signature
Ø / Telephone Area/No.
<LIBRARY NAME> Public Library
PHOTO PERMISSION SLIP / Date
I, ______, give permission to the
<LIBRARY NAME> Public LIbrary
to make or use pictures, slides, digital images, or other reproductions of me, of my minor child ______, or of materials owned by me or my child, and to put the finished pictures, slides, or images to use without compensation in productions, publications, on the web, or other printed or electronic materials related to the role and function of the <LIBRARY NAME> Public Library.
Address Street, City, State, ZIP
Signature
Ø / Telephone Area/No.