My Name (Please Print)
Signature Date
If a minor, signature of
Parent or Guardian
Photo/Video/Work
Release
give permission to the North Clackamas School District to use or
reproduce my name; my likeness, whether by photo or video; and, the
work created by me. Where applicable, this applies to images of my
business or organization.
I understand and agree that I will not be compensated for such use or
reproduction, nor will my child, if applicable.
I
My Name (Please Print)
Signature Date
If a minor, signature of
Parent or Guardian
Return to: Joe Krumm, 4444 SE Lake Road, Milwaukie 97222,
Fax it to 503-353-6007, krumm@nclack.k12.or.us or send it to “950”.
give permission to the North Clackamas School District to use or
reproduce my name; my likeness, whether by photo or video; and, the
work created by me. Where applicable, this applies to images of my
business or organization.
I understand and agree that I will not be compensated for such use or
reproduction, nor will my child, if applicable.
I
Return to: Joe Krumm, 4444 SE Lake Road, Milwaukie 97222,
Fax it to 503-353-6007, krumm@nclack.k12.or.us or send it to “950”.
Photo/Video/Work
Release