Apperson Street Elementary PTA Photography Release

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Please review before sending your pictures for the 2020-2021 yearbook. This form is for the permission to use child's image, name and/or school AND permission to use adult image, name, organization name, and/or title.

Please provide child(rens) name(s) and grade *

I hereby grant and assign the California State PTA, its units, councils, districts and legal representatives, the irrevocable and unrestricted right to use and publish for editorial, trade, advertising or any other purpose and in any manner and medium, including website and internet promotion, all photographic, video, and digital images as indicated below: *

PHOTO / IMAGE ONLY of my child.

PHOTO / IMAGE ONLY of my child with SCHOOL NAME.

PHOTO / IMAGE of my child with my CHILD'S NAME and my child's SCHOOL'S NAME.

Please provide your full name, title and school *

PHOTO / IMAGE ONLY of myself.

PHOTO / IMAGE ONLY of myself with SCHOOL NAME or ORGANIZATION.

PHOTO / IMAGE of myself with my NAME, my ORGANIZATION, and/or my TITLE.

By signing this, I hereby release the California State PTA, its units, councils, districts and its legal representatives from all claims and liability relating to said photographs, video and digital images. (Full name) *

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