This photo release form grants the SC State Library permission to use photographs of individuals for any purpose without further consent. By signing, photo subjects consent to the library using photos of them in publications, public relations, education, training or other uses. The form collects the signatures, names and contact information of both the photo subjects and the principal contact for the photographs.

1. Photo Release Form
All individuals pictured in submitted photographs must sign the
following consent statement.
I hereby consent that the photography made of me on this
date may be used by the SC State Library for publications,
public relations, education, training and any other purposes it
sees fit without further consideration from me.
______________________________________________________________________
Signature(s) of Photo Subject(s)
______________________________________________________________________
Name(s) of Photo Subject(s)
______________________________________________________________________
Date
______________________________________________________________________
Principal Contact
______________________________________________________________________
Principal Contact’s email address (please print clearly)
______________________________________________________________________
Principal Contact’s phone number
Title of Photo and/or Description:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________