Photo Release Form

Kentucky Youth Advocates is a non-profit children’s interest organization that seeks to improve the lives of Kentucky’s children and families. In order to make our publications more appealing and put a face on important children’s issues, we need photographs of Kentucky children. If you are willing to allow us to use your, or your child’s, image, please complete the form below and upload pictures. You must be a parent or guardian of the child in the photographs to provide permission for us to use the images.

You can upload 4 pictures to this form. If you want to send in additional pictures, there are instructions after you submit this form on how to do that. If you have any questions, please email info@kyyouth.org.

By filling out this form, you commit to the following:

I, the undersigned, do hereby grant permission to Kentucky Youth Advocates to publically use the submitted photograph(s) of me and/or my minor child(ren). I understand that the images may be used in Kentucky Youth Advocates’ print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Photo Release Form
















Clicking Submit will serve as an electronic signature verifying that you permit Kentucky Youth Advocates to publicly use photos of yourself, or your children if they are under 18.