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Photo Release for Children Under 18 Years of Age (we only need a signature if you are allowing the child to be on our website or in our scrapbook with his/her face shown.) If we do not have the signature on file we will automatically blur minors faces.

I hereby grant to Hog Heaven Rescue Farm, Inc. and to its employees, agents and assigns the right to photograph my dependent and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.

Sign or initial here to OK use in our Scrap-Book:

Sign or initial here to OK use on the Website:


Sign or initial here if you OK use in our Scrapbook & Website.


I certify that I am a custodial parent and have the aforementioned rights to sign.

Signature of
Parent or Guardian:


Print Name of
Parent or Guardian:

Date:       ______________________

If you are giving permission via email just send the email with the photo to Cookie, or Pat, with a typed permission specifying how you wish the photo be used. Thank You.

Last updated July 3, 2006