Simply print form, fill it in, and give to a Leader.  If you wish to not give permission, please fill in names, and write "NO"  in big letters. Thank you!
                                                                Cub Scout Pack 150
                                                    Marietta, Pennsylvania

Photo Release Form
I give permission for photographs of the persons listed below to be published on the website of Cub Scout Pack 150, Marietta, PA. I understand that these photos can be viewed by anyone in the world, but no identifying information will be displayed.
I am over 18, and I give permission for my image to be published.

Print name: _________________________________________________________

Signature: __________________________________________________________
I am the parent or legal guardian of the following child(ren) under 18 years of age, and I give permission for their images to be published.
Child's name: ________________________________________________________

Child's name: ________________________________________________________

Child's name: ________________________________________________________

Child's name: ________________________________________________________

Adult's name (print): __________________________________________________

Adult's signature:  ____________________________________________________

Today's Date:  __________________________________________
Images may be used for future promotions of the Cub Scout Pack. Photo release will be revoked if request in writing is submitted to Cub Scout Pack 150.

Received by (Initials):  _________________

Position Held/Date: ______________________________________________
                                                
   
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