Mathews Memorial Library
Permission – Photo Usage
Date _________________
Dear Parent,
When preparing work for external publications or on the Internet, it is the practice of the Mathews Memorial Library to seek parental permission before including a minor’s photograph. Names of minors are never used when placing photos on Internet publications. Should we wish to include your child’s photo in conjunction with a library project, we would need to have your signed permission. Please review the information, and if you agree, sign the form and return it to the library.
Please sign and return to the library
Mathews Memorial Library has my permission to publish a photo of my
child, ____________________________ , for an external publication or on the Internet.
Parent Signature____________________________________ Date _________________
Daytime Phone __________________ Evening Phone _____________________
This policy was adopted September 2007.