Name of Child/Youth *

First Name

Last Name

As the parent or legal guardian, I grant the Salvation Army my permission to use any photo taken of my child for any legal use including, but not limited to: Publicity, copyright purposes, illustrations, advertising and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me for any such use *

Parent/Guardian Name *

First Name

Last Name

Date *

MM

DD

YYYY