Free photo release form 24
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Your
Library or Institution’s
Letterhead

PHOTO RELEASE FORM
I hereby grant permission to (your library’s name) to use photographs and/or
video of me taken on (date) at (location) in publications, news releases, online,
and in other communications related to the mission of (your library or institution’s
name).

(Signature of Adult, or Guardian of Children under age 18)
Name
Address
Phone (day)

(evening)

Email Address (optional)

Thank you!