Stillwater Public Library Photo Shoot

Stillwater Public Library Photo & Video Release Form

Thank you for your interest in sharing your library story with us! We appreciate your willingness to help us share library stories on our website, social media, and in promotional materials.
Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Stillwater Public Library Photograph & Video Permission

Please complete the photograph release form below for all participating family members.
I give Stillwater Public Library and Stillwater Public Library Foundation and their assignees the absolute right and permission in perpetuity to use my photograph, video, portrait, likeness or voice or that of my minor child(ren) for whom I am a parent/guardian, names listed below, in its promotional materials and publicity efforts.

I understand that the photograph(s) or video(s) may be be used in a publication, print ad, direct mail piece, news release, electronic media (e.g. website, social media), or other forms of promotion or information.

I release Stillwater Public Library and Stillwater Public Library Foundation, their agents, staff, the photographer, and the videographer from liability for any violation of any personal or proprietary right I may have in connection with such use.
Release of Adult Participants:
Adult Participant 1

First NameLast Name
Signature of Adult Participant 1

Clear
Adult Participant 2

First NameLast Name
Signature of Adult Participant 2

Clear
Release of Minor Participants (under 18):
Names and Ages of Minor Participants
YesNo
Parent/Guardian Signature

Clear
Date Release(s) Signed*

MonthDayYear
Date
Should be Empty:

Stillwater Public Library Photo & Video Release Form

Contact Information

Stillwater Public Library Photograph & Video Permission