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PHOTOGRAPHY CONSENT FORM / RELEASE FOR …stem/pdf/photo_2016.pdf · PHOTOGRAPHY CONSENT FORM / RELEASE FOR MINOR CHILDREN (Under 18) I, (print name)_____, parent or official guardian

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Page 1: PHOTOGRAPHY CONSENT FORM / RELEASE FOR …stem/pdf/photo_2016.pdf · PHOTOGRAPHY CONSENT FORM / RELEASE FOR MINOR CHILDREN (Under 18) I, (print name)_____, parent or official guardian

 

Center  for  STEM  Learning  Dole  Human  Development  Center  |  1000  Sunnyside  Ave.,  Room  3078  |  Lawrence,  KS  66045-­‐7511  |  (785)  864-­‐2379  |  Fax  (785)  864-­‐1336  

PHOTOGRAPHY CONSENT FORM / RELEASE FOR MINOR CHILDREN (Under 18)

I, (print name)_________________________________________, parent or

official guardian of (child’s name)________________________________hereby grant permission

to the University of Kansas Center for STEM Learning, to take and use: photographs and/or

digital images of my child for use in news releases and/or educational materials as follows:

printed publications or materials, electronic publications, or websites. I authorize the use of

these images without compensation to me. All negatives, prints, digital reproductions and

shall be the property of the University of Kansas Center for STEM Learning.

___________________________________________ (Date)

___________________________________________ (Signature of Parent or Guardian)

___________________________________________ (Address)

___________________________________________ (City, State, Zip)