Photo Release Form

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photo release form

Please complete a separate form for each child.

* Indicates required field

Mother's Name *

First

Last

Child's Name *

First

Last

Complete and submit a separate form for each child

Choose One *

Yes, I give permission for photos of my child to be included on the Columbus Chapter web site and Facebook page Yes, I give permission for photos of my child to be included on the Columbus Chapter Facebook page No, I do not give permission to display photos of my child on the Chapter Facebook page or web site

Re-enter Name *

Submit

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