Photo Image Release Form

I understand and give permission for my child,

CHILD'S NAME

To be photographed for the following purposes

*Childs name will not be used in any photo caption or text*:

Kid Kare Project, Inc:

DOES have my consent to use photographs of my child for the above -named purposes.

DOES NOT have my consent to use photographs of my child for the above-named purposes

To be photographed for the following purposes

*Childs name will not be used in any photo caption or text*:

Kid Kare Project, Inc:

DOES have my consent to use photographs of my child for the above -named purposes.

DOES NOT have my consent to use photographs of my child for the above-named purposes

Parent / Guardian name

Your Signature

Select a date