Photoshoot Release Form

Child's/Children's Name(s):*

Parent/guardian's name:*

Parent/guardian's email:*

Parent/guardian's phone number:*

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