Photo Contest Submission & Release Form
Use this form to submit photos and allow use by Wayne County, PA
The Wayne County Planning/GIS Department wanted to change things up this year and get the community involved by asking for photo submissions from the public for the cover of the 2023 Planning Commission Annual Report. The theme is Lackawaxen River since it is up for RIVER OF THE YEAR, but any photos of Wayne County (monuments, festivals, landscapes, etc.) would be accepted. Members of the department will chose 1 or a few photos to go on the cover this year with credit to the photographer, and others will be saved for future annual reports.
You can submit photos until Feb. 11, 2024 Thank you!
Name
*
First Name
Last Name
Email (for contact purposes only)
*
example@example.com
Where are you from? (Hawley, Prompton, Aldenville, etc.)
Where was your submitted photograph taken? (town, township, landmark, event)
Please upload an image taken within the last 15 months of Wayne County, PA for consideration in the contest.
If there are people in the image, please identify them here: from left to right or clockwise from noon.
Authorization and Release
Please check the boxes regarding your preference.
I authorize Wayne County, PA to use my photograph, if chosen, to appear on the cover of the Wayne County Planning Commission 2023 Annual Report.
I authorize Wayne County, PA to to use my photos on Wayne County and associated websites and its a social media platforms for the promotion of Wayne County and its communities..
Signature
*
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: