Photo Release Form

Building Blocks Child Development Center I, ______________________________________ hereby grant Building Blocks Child Development Center permission to publish: My photograph/s My childs photograph/s (childs name: ______________________________________) In Center publications and/or on the Centers website located at www.buildingblockscdc.org. I understand that I have the right to request, in writing, the removal of the photo from the website within 30 working days of the Building Blocks Child Development Center. I understand that this photo may be used in Center publications or on a website designed to promote the Centers services as well as offer information and resources. By signing below, I acknowledge my understanding of the above and grant my permission for use of the photographs.

_________________________________________________ (Please print name) _________________________________________________ Signature

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