Kagyu Changchub Chuling

A center for the practice and study of Vajrayana Buddhism founded by His Eminence Kalu Rinpoche

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:________________________________________________ _______________________________________________________________