GSA20162017

PhotoReleaseForm(forPassionProjectBlog)
OrganizationName:SLHSGSA

I,___________________________,grantGSA,itsrepresentatives,andemployeestherighttotake
photographsofmeandmypropertyinconnectionwithGSAclubmeetingsandactivities.
IauthorizeGSAitsassignsandtransfereestocopyright,useandpublishthesameinprintand/or
electronically.
IagreethattheGSAmayusephotographsofmewith/withoutmynameforanylawfulpurposeforpurposes
suchaspublicity,illustration,advertising,andWebcontent.(Checktheboxthatapplies)

IDOgivepermissionfor_________________________________s(name)
image/photographorworktobeusedadescribedabove.
IDONOTgivepermissionfor____________________________s(name)
image/photographorworktobeusedadescribedabove.

GSAMembersName______________________________________Date_____________
(ifunderage18)Parent/GuardianSignature_____________________________________________
PleasereturnthisformtoIsabel,AlytzaorJoshby:DATE____________________

GSA20162017
PhotoReleaseForm(forPassionProjectBlog)
OrganizationName:SLHSGSA

I,___________________________,grantGSA,itsrepresentatives,andemployeestherighttotake
photographsofmeandmypropertyinconnectionwithGSAclubmeetingsandactivities.
IauthorizeGSAitsassignsandtransfereestocopyright,useandpublishthesameinprintand/or
electronically.
IagreethattheGSAmayusephotographsofmewith/withoutmynameforanylawfulpurposeforpurposes
suchaspublicity,illustration,advertising,andWebcontent.(Checktheboxthatapplies)

IDOgivepermissionfor_________________________________s(name)
image/photographorworktobeusedadescribedabove.
IDONOTgivepermissionfor____________________________s(name)
image/photographorworktobeusedadescribedabove.

GSAMembersName______________________________________Date_____________
(ifunderage18)Parent/GuardianSignature_____________________________________________
PleasereturnthisformtoIsabel,AlytzaorJoshby:DATE____________________