Permission to Use Photo Release Form
Owner of the Photos
Street Address Line 2
State / Province
Postal / Zip Code
Name Of Graduate
Image that is to be released
Consent / Permission
Whereas the families of graduates of the year 2020 are seeking the ability to celebrate their graduates in this year of uncertainty.
I authorize and grant Jeremiah Mutty d/b/a 207 PHOTO to use the photo listed above or submitted herein.
I grant 207 PHOTO the right to use my photos in print for the express purpose of creating a commemorative graduate yard sign as pictured below.
I understand that I will not receive any monetary compensation.
I do not authorize 207 PHOTO to resale the materials listed EXCEPT as part of the created item pictured below.
Signature of the Owner
Should be Empty: