PHOTO RELEASE FORM

I give SCIDpda permission to use my image for marketing purposes for

Little Saigon/International District and the promotion of this photo
competition.

I release all claims against SCIDpda with respect for compensation related
to the use of my image.

Your Name: (Please print)

Your Signature: Date:

Legally Responsible Party: (Please print) if person is unable to sign for himself or herself, or is
under the age of 18

Relationship to the person being photographed

Legally responsible party signature Date:

General Guidelines: Signed releases should be used when individuals are poised for
photographs, or when their face is recognizable in the image submitted. Signed release forms
are not needed when subjects are unrecognizable in public places such as fairgrounds, parks,
or public streets. When images are published, SCIDpda will take cautionary steps to provide
minimum identifying information. Administering and maintaining records of this form are the
responsibility of the photographer, though a copy must be submitted to SCIDpda for applicable
contest entries. If you have questions, please contact Amy Nguyen at amyn@scidpda.org.