I agree to be photographed by _________________________________ (photographer's name) on ________________ (date)
I understand that this photograph will be entered into the Carylye Campbell Libray photo contest.
I give the Carlyle Campbell Library permission to use the photo in any format application (i.e. displays, library website, library Facebook page, etc.)
__________________________________________________
Name
___________________________________
Date
The photographer must submit a signed consent form for each person he/she includes in his/her photograph. Please bring the signed form to Carrie Nichols (Carlyle Campbell Library, Rm. 131) If the consent form(s) is not received by the deadline, the photo entry will be disqualified.