Neighbors of Baker and Baker County Safe Communities Coalition
TEXT and PHOTO RELEASE FORM
I hereby grant permission to Neighbors of Baker and Baker County Safe Communities Coalition to use text, photographs and/or video of me taken in interviews for publications, news releases, online posts, and in other communications related to the mission of Neighbors of Baker.
If I am submitting my own text, photographs and/or video, I confirm that I created the content myself and grant permission to Neighbors of Baker and Baker County Safe Communities Coalition to use text, photographs and/or video of me taken in interviews for publications, news releases, online posts, and in other communications related to the mission of Neighbors of Baker.
I understand that the Neighbors of Baker team reserves the right to edit, decline or remove submissions.
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Signature (of Adult, or Guardian of Children under age 18)
Name ________________________________________________________
Address _______________________________________________________
Phone ________________________________________________________
Email Address _________________________________________________
Thank you!