I hereby authorize the Judith and Norman Alix Art Gallery to utilize the photograph(s) of myself and/or my child(ren) for public view which may be used in a wide range of electronic and printed platforms including but not limited to: websites, blogs, Facebook, Twitter, Instagram, e-newsletters, e-blasts, pod casts, newspapers, advertisements, annual reports, posters, program brochures, etc. I agree I will not be financially compensated for its use. The information that is being collected on this form will be treated in accordance with the Municipal Freedom of Information Act, R.S.O.1990, Chapter M.56.
Please forward any questions to: FOI Coordinator, County of Lambton, 789 Broadway Street, Box 3000, Wyoming, ON, N0N 1T0, or phone 519-845-0809, toll-free 1-866-324-6912.