Free photo release form 21
Download the document to the computer for easy use
There are more pages to preview,Read on

PHOTO RELEASE FORM
101-205 Hawkins St., Whitehorse, YT Y1A 1X3 | (867) 633-7892 or 1-800-661-0555, ext. 7892
lotteriesyukon.com | [email protected]a

I,

, hereby certify that I am the legal guardian of
and hereby give permission for images of my child

captured during

(Event) through video, photo and
(Organization) for

digital camera to be used by

the sole purposes of promotional material and publications, including its website, fundraising
or any other like purpose and further give my consent for said images to be used by Lotteries
Yukon for publication in their Annual Report and website. I further understand that by signing
this release, I waive any and all present and future compensation rights to the above stated
material(s).

Name of Participant (please print)

Age:

Name of Parent/Guardian (please print)
Parent/Guardian’s Signature:

Date:

Address:
Phone:

PHOTO RELEASE FORM

E-mail:

PAGE 1 OF 1