This Photo Release is for children under 18 years of age. (We only require a signature if you are allowing the child to be on our website or in our scrapbook with his or her face shown.) If we do not have the signature on file we will automatically blur the minor's face.

I hereby grant to Hog Heaven Rescue Farm, Inc. and to its employees and agents and assign the right to photograph my dependent child and use the photo and/or other digital reproduction of his/her physical likeness for publication processes, whether electronic, print, or digital publishing via the internet.

Sign or initial here to OK use in our Scrap-Book:

Signature_________________________________________________ Date ______

Sign or initial here to OK use on our website:

Signature_________________________________________________ Date ______

Address, City, State, and Zip Code:

_________________________________________________________________________

Printed name of Parent or Guardian:

_________________________________________________________________________

If you are giving permission via email, just send the photo to Regina or the webmaster specifying how you wish the picture be used. Thank You.