2. The following form is to be filled out by the parents or guardians of a minor(s) who were either photographed or video recorded by the Marketing Department’s staff. Thank you for helping us with our project. Please fill out the form below. In the notes section, remind us where you and your child helped us as we were shooting photographs / video in Edmond.
4. Minor Information
6. Minor Name(s)*
8. Parent/Guardian Information
10. Parent/Guardian Name*
12. Address*
14. City*
15. State*
16. Zip*
18. Email*
20. Additional Information
22. Notes
24. Agreement
26. I hereby confer to the City of Edmond, Oklahoma, and its photographer / videographer, the unrestricted and irrevocable right and permission with respect to the photographs / videos / recordings that he / she has taken of me or in which I may be included with others:
    To copyright the same in (videographer / photographer)’s own name or any other name that may be selected;To use, re-use, publish, and republish the same intact or in part, separately, or in conjunction with other photographs, in any medium now or hereafter known, and for any purpose whatsoever, including (but not limited to) illustration, promotion, advertising, and trade;To alter the same without restriction, and;To use information in conjunction therewith if he / she decides, including that would / could be personally identifying, including but not limited to: membership in certain organizations, participation in activities, etc.I hereby release and discharge (photographer) and the City of Edmond, Oklahoma for all and any claims and demands ensuring from or in connection with the use of the photographs / videos / recordings, including any and all claims for libel and invasion of privacy. I hereby waive any right that I may have to inspect or approve the finished product or products or the advertising copy or printed matter that may be used in connection therewith or the use to which it may be applied.
28. Mark the box below if you agree with the terms stated above.
30. Authorization*

    1. I agree to the terms above.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field