Free photo release form 35
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STORY AND PHOTO RELEASE FORM
I understand that my story and photograph are being included in the Kate B. Reynolds Charitable
Trust collection of stories and may be used in Trust publications and news releases, and on its
website. I waive any right, title, and interest I may have in the photograph and story and agree to their
use by the Kate B. Reynolds Charitable Trust for any purposes it would deem necessary and
appropriate.
You may either fill out this form with your word processor, or by printing and filling out
manually. In either case the subject of the story must sign this release form. Present the
completed form to our staff, or fax/mail it to our offices, along with the story and photos.
Name:
Address:
City, State, Zip Code:
Signature of individual (or
parent/guardian for minor child):
Date (mm/dd/yyyy):
Submitting Organization:
Address:
City, State, Zip Code:
Representative:
Telephone:

Please present to a KBR staff member, FAX to the Kate B. Reynolds Charitable Trust at 336-7