Download this form as an RTF document.

Photographic Release

Version dated: March 19, 2004

I hereby grant and convey to KCC all right, title, and interest in any and all photographic images and video or audio recordings made by KCC during the course of my volunteer activities with KCC and used for publicity purposes.

This release also includes minors under my control.



Dated: ____________________

Sign Name: __________________________________

Print name: __________________________________

Address:________________________________________________
_______________________________________________________________