You are on page 1of 1

Thats What Friends Are For

Photography Release
Your child is in the original cast of Thats What Friends Are For. We would like to use your childs picture for
publicity, posters, and advertising. This can include online and print photography.

We also may print pictures in published scripts, the website, and future show publicity. Please let us know if
you do not want your childs picture used.

Please initial the appropriate blank below:

______I represent that I am the parent or guardian of the minor child listed below and hereby give my consent
to Gwendolyn Dattage and/or Dixie State University to take or use photographs, digital images, and our
video/audio recordings of my child for use in news releases and/or educational materials as follows: printed
publications or materials, posters, brochures, electronic publications, future show publicity and printing, audio
CD, or Web sites.

I represent that I am the parent or guardian of the minor listed below and that I have the full legal capacity and
right to execute this release and grant the rights granted herein.

Child Name: ___________________________________
Parent/Guardian Name: ___________________________________
Parent/Guardian Signature: ___________________________________


__________________________________________________________________________________________

______I give permission for Gwendolyn Dattage and/or Dixie State University to use my son/daughters picture
ONLY for a CD of pictures and video for cast members and their family.

I represent that I am the parent or guardian of the minor listed below and that I have the full legal capacity and
right to execute this release and grant the rights granted herein.

Child Name: ___________________________________
Parent/Guardian Name: ___________________________________
Parent/Guardian Signature: ___________________________________


__________________________________________________________________________________________

______I DO NOT give permission for Gwendolyn Dattage and/or Dixie State University to use my
son/daughters picture/video for anything.

I represent that I am the parent or guardian of the minor listed below and that I have the full legal capacity and
right to execute this release and grant the rights granted herein.


Child Name: ___________________________________
Parent/Guardian Name: ___________________________________
Parent/Guardian Signature: ___________________________________

You might also like