Youth Photo Release
Permission to Use Photograph of Minor
Subject: ____________________
Location: ___________________
I give permission for my minor child, _____________________________, (“Child”) to appear in
Print name of child
photographs in connection with the above-identified subject. I authorize
[insert organization], its assigns and transferees to copyright, use and publish the same in print
and/or electronically.
I agree that [insert organization] may use such photographs for any lawful purpose, including
for example such purposes as publicity, illustration, advertising, and Web content, and that
such photographs may be submitted to the Alliance for Biking & Walking’s People Powered
Movement Photo Contest and Biking & Walking Advocacy Photo Library for use by the Alliance
and it’s affiliate members for charitable purposed related to promoting biking and walking.
[insert organization] may use such photographs of Child with or without my name and for any
lawful purpose, including for example such purposes as publicity, illustration, advertising, and
Web content.
I have read and understand the above:
______________________________________
Print name of parent or guardian
_______________________________________
Signature of parent or guardian
____________________________
Date
General Photo Release
Permission to Use Photograph
Subject: ____________________
Location: ___________________
I grant to [insert organization], its representatives and employees the right to take
photographs of me and my property in connection with the above-identified subject. I
authorize [insert organization], its assigns and transferees to copyright, use and publish the
same in print and/or electronically.
I agree that [insert organization] may use such photographs of me with or without my name
and for any lawful purpose, including for example such purposes as publicity, illustration,
advertising, and Web content, and that such photographs may be submitted to the Alliance for
Biking & Walking’s People Powered Movement Photo Contest and Biking & Walking Advocacy
Photo Library for use by the Alliance and it’s affiliate members for charitable purposed related
to promoting biking and walking.
[insert organization] may use such photographs of me with or without my name and for any
lawful purpose, including for example such purposes as publicity, illustration, advertising, and
Web content.
I have read and understand the above:
Signature _________________________________
Printed name ______________________________
Organization Name (if applicable) __________________________
Address __________________________________
Date _____________________________________
Signature, parent or guardian _______________________
(if under age 18)