Child Picture release form

PDF of child release form


The National Association for Amateur Radio
225 Main Street
Newington, CT 06111-1494


To be used if subject under 18 years old

I, the undersigned, freely give to the ARRL, the American Radio Relay League, and their legal representatives, successors, and all persons, organizations, or corporations acting with their permission unrestricted permission to copyright and/or use, and/or publish photographic portraits or pictures of my child(ren), and the negatives, transparencies, prints, videotapes, or digital information pertaining to them, in still. single, multiple, moving or video format, sounds, audio, or in which my child(ren) may be included in whole or in part or composite, or distorted in form, or reproductions thereof, in color or otherwise, made through any media in their studio, on websites or emails or elsewhere for art, or any other lawful purpose.

I hereby waive any right that I may have to inspect and approve the finished product or copy that may be used in connection with an image that the Photographer has taken of my child(ren), or the use to which it may be applied. I further release the Photographer, the ARRL or others for whom he/she is acting, from any claims for remuneration associated with any form of damage, foreseen or unforeseen, associated with the proper commercial or artistic use of these images unless it can be shown that said reproduction was intentionally maliciously caused, produced and published for the sole purpose of subjecting myself or my child(ren) to conspicuous ridicule, scandal, reproach, scorn and indignity. I acknowledge that the photography session was conducted during a routine amateur radio exercise, and this release was willingly signed. I certify that I am the legitimate parent or legal guardian of the child(ren), and am free and able to give such consent.

Child(ren)’s Name _____________________________________________________
Parent’s Name____________________________________ Callsign_____________
Parent’s Phone (________) _____-___________________ Email _________________
Parent's Signature _____________________________________________________
Event / Location _______________________________________________________
Photographer Name ________________________________Callsign_____________
Photographer signature _________________________________________________

Fax or Mail Copy with picture to:
Media and Public Relations Manager
225 Main Street
Newington, CT 06111-1494
Fax: (860) 594- 0259