New Choices – Photo Release Form

Pennsylvania Women Work takes pictures of events to use in various ways, including on the organization’s newsletter and website.

I hereby grant Pennsylvania Women Work to use, reproduce, and/or publish photographs and/or video that may pertain to me — including my image, likeness and/or voice.

I understand that this material may be used in various publications, including the organization’s newsletter, website or other medium the organization deems appropriate for publicity or as part of PA Women Work’s marketing/public relations materials.
Publicity and Photo Consent and Release Form*
I agree to the publicity and photo consent and release policy
Name
First Last
Date
Date Format: MM slash DD slash YYYY