Photo Release Form
Humble Webmaster & Photographer
Claire Worthington has my Permission to Use PhotographSubject: ____________________Location: ___________________
I grant to Claire Durkee Worthington , her representatives and employees the right to take photographs of me and my property in connection with the above identified subject. I authorize Claire Durkee Worthington, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that Claire Durkee Worthington 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:
Printed name ______________________________
Organization Name (if applicable) __________________________
parent or guardian _______________________
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