The following is a photo/video release form
specifically for minors (under the age of 18).

I hereby grant to the Sanctuary of Ocala and to its employees, agents, and assigns the right to photo-graph my dependant and use these photographs of my dependant and the recording of his/her voice and or other digital reproduction of him/her or other reproduc-tion of his/her physical likeness for publication proces-ses, whether electronic, print (bulletins, brochures, newsletters, ads, etc.), digital or electronic publishing online on the Sanctuary of Ocala website or affiliates.

Furthermore, I consent that such video and audio may be used free and clear of any claim on my part.

I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage.

I understand that the Sanctuary of Ocala will exercise the utmost discretion in the use of this photophraph and/or video and will not provide this photograph and/or video to any outside group without my consent and permission.

Child's Name:	Date:

 Address:

 City/State/Zip:

I certify that I am a custodial parent and have the aforementioned rights to assign.

 Parent/Guardian's Name:

 Address (if different from above):

 City/State/Zip:

 Email Address: