The Peoples of Utah Revisited

The Peoples of Utah Revisited

Join us in shining new light on Utah's rich array of cultures, traditions, and experiences. Fill out this form to share your digital photos that represent your past, your family, and your community. Your photo submission(s) will be reviewed by Utah Historical Society (UHS) staff and may become a part of the Peoples of Utah Revisited online collection. A maximum of seven photos are allowed per submission. Questions? Email Monique Davila at mdavila@utah.gov.
I, First Name* Last Name*, as the owner of the digital images listed in this agreement, grant the Utah Historical Society (UHS) permission to place these digital images on the UHS’s website, and to become part of its digital collections for public use.

I hereby grant the UHS ownership of the digital images listed in this agreement to be used, copied, or published by the UHS in any medium. By signing this form, I agree that the UHS may use the image(s) without further approval on my part. I understand that the UHS may use the image(s) for exhibitions, publications, presentations, and for the promotion of the UHS. By granting this permission, I understand that I maintain any copyright or performance rights of the items that I possess.
Print your initials here*

Public Use and Reproductions:
I grant the UHS permission to allow outside groups and individuals to reproduce these images. (Check YES or NO)*

YESNO
I would you like my name to remain anonymous to the public. (Check YES or NO)*

YESNO
Release of Liability: I release the UHS from any and all claims and demands arising out of or in connection with the image(s) listed in this form, including but not limited to any claims for defamation, invasion of privacy, or right of publicity. *

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
Example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof

Metadata (Descriptive information about your image)

Please fill out as much information as you can with each question. Be specific as possible. If you do not know the answer, please write unknown or not applicable (N/A).
Donor Name:
First and last name of person donating the digital photo.
Item Description:
example: Black and white photo of family event on Easter Sunday, April 04, 1999.
Names of person(s) in the photo:
Please provide the first and last name of each person in the photo, starting from left to right and back to front.
Organization/Institution (if applicable):
Creator: Who took the photo?
Location: Where was the photo taken?
Date: When was the photo taken?
If you are unsure of the exact date, enter a time frame, i.e: circa 1920s, 1922-1924.
Significance:
Why is this photo important to you? What does it tell about your past, family, and community in Utah?
Additional notes you'd like to share:
Upload your photo here:

Cancelof
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The Peoples of Utah Revisited

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