Put a Face On Scouting
Photo Release Form


Pack | Troop | Post | Crew # _________    City/Town ______________________________

Contact Name: __________________________________   Phone # __________________

The following persons, listed below, appearing in photographs having been taken at Boy Scouts of America meeting, events and functions agree to let the Yankee Clipper Council and their agents use the undersigned's image for the promotion of Scouting. Those listed will receive no compensation for the use of their image. Their signatures represent their consent to this release agreement.

Individual Name

Individual's Signature

Parent's/Guardian's Signature

     
     
     
     
     
     
     
     
     

Date, Time, & Place: ________________________________________________________

Description of Activity _______________________________________________________

________________________________________________________________________

________________________________________________________________________

Contact Person's Signature: ________________________________ Date: _____________