I/We _________________________________ give Pamela Ball permission to photograph my/our child ___________________________ and use these pictures in the following manner(s) Please Initial space provided:

______ Pam’s Play Place and Preschool Scrapbook

______ Child Crafts

______ Advertisements for Pam’s Play Place and Preschool (ex. Brochure/Flyers)

______ On the public website at: www.pamsplayplace.com

(Only first names of children are used) 

______ In Parent’s Area of website at: www.pamsplayplace.com

            (This area is password protected – only current families have access)

            Please choose your families:

Username:________________ Password: ________________

______ Email them to: (Please provide email addresses below):

 

            Name:   ______________ Relationship to child: ___________ Email: _________________

            Name:   ______________ Relationship to child: ___________ Email: _________________ 

            Name:   ______________ Relationship to child: ___________ Email: _________________

            Name:   ______________ Relationship to child: ___________ Email: _________________

            Name:   ______________ Relationship to child: ___________ Email: _________________

            Name:   ______________ Relationship to child: ___________ Email: _________________

These photos will be of my child(ren) while playing, doing crafts, eating, reading, during outside play, etc.)

(Mother/Guardian)                                                                    (Date)

(Father/Guardian)                                                                     (Date)

(Pamela Ball)                                                                             (Date)

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