STANDARD  PHOTO  RELEASE / FORM 4  

I  hereby  authorize  Las  Amigas  de  Las  Lomas  and  Los  Amigos  to  publish  photographs  taken  of  me,_____________________________,and/or  the  undersigned  minor  children  to  promote  our  organization.  The  images  may  be  used  for  any  lawful  purpose  in  print  publications,  online  publications,  presentations,  our  website  www.lasamigas.org,  and  social  media.  I  also  understand  that  no  royalty,  fee  or  other  compensation  shall  become  payable  to  me  by  reason  of  such  use.    

I  attest  that  I  am  the  parent  or  legal  guardian  of  the  children  listed  below  and  that  I  have  the  authority  to  authorize  use  of  their  photographs.    

I   acknowledge   that   since   participation   in   publications   and   websites  produced  by   Las  Amigas  de   Las   Lomas   and   Los  Amigos   is   voluntary,  neither  the  minor  children  nor  I  will  receive  financial  compensation.  

Signature  of  Member/Parent/Guardian:   Date:  Street  Address:  City,  State,  Zip  Code:  Child’s  Name:   Age:  Child’s  Name:   Age:  Child’s  Name:   Age:  Child’s  Name:   Age:  

Mail to: Membership Chair PO Box 2515 Palos Verdes Peninsula, CA 90274