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Below are copies of the Photographic/Video Release Forms used by the Birmingham Museum of Art. Questions about these policies may be directed to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .
Birmingham Museum of Art Photographic/Video Release for Adults I consent for the use of my photograph or video image or likeness to be used in any product that the Museum may produce for educational purposes, with the assurance that my true name will not be associated commercially with my photograph, so as to provide me with anonymity. In giving my consent for my photograph or video to be used by the Museum, I waive any current and future claims against the Museum, financial and otherwise, and release the Museum from any obligations to me currently or in the future for compensation for use of my photographic image or likeness. ____________________________ Signature ____________________________ Print Name ____________________________ Date Address _________________________________________________________ Phone Number: ______________________ Work Number: ______________ Email Address: _______________________
Birmingham Museum of Art Photographic/Video Release for Children I hereby give my consent for my child to be photographed and/or videotaped for use by the Birmingham Museum of Art in the production of any and all media for marketing purposes. This may include use of my child's image on the Museum's printed materials, website, and social networking sites such as Facebook. I consent for the use of my child’s photograph or video image or likeness to be used in any product that the Museum may produce for educational purposes, with the assurance that my child’s true name will not be associated commercially with my photograph, so as to provide me with anonymity. In giving my consent for my child’s photograph or video to be used by the Museum, I waive any current and future claims against the Museum, financial and otherwise, and release the Museum from any obligations to me currently or in the future for compensation for use of my photographic image or likeness. ____________________________ Signature ____________________________ Print Name ____________________________ Relationship to Child ____________________________ Date Child’s Name _____________________________________________________ Address _________________________________________________________ Email Address: _______________________
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