Photo Release

This is confirmation that I am a multimedia reporter, specializing in News, Investigations and Features. I create for several publications and may plan on including photos of you on one of the websites.  Though your photo is being used,with or  without your permission we will not use your name or your full name (unless given specific permission to do so.  Occasionally, it might be necessary to use the first, but no last names, addresses, and/or telephone numbers will be used without permission.  This applies to minors under the age of 16.

I will not use your images for any obscene, pornographic or illegal purposes. 

Please check one:

____ We/I hereby give permission for Webb on the Web to use photos along with first or last name on Webb on the Web website and other electronic forms of communication.  The place of employment may or may not be used depending upon policy and location the photo was taken.

____ We/I hereby give permission for Webb on Web the use photos only without first name, only initials on Webb on the Web website and other electronic forms of communication. The place of employment and your image may or may not be used with or without your permission depending upon policy and location the photo was taken.

_____ We/I hereby do not give permission for Webb on the Web to use photos on Webb on the Web website and other electronic forms of communication. The place of employment, however and any public place may or may not be used depending upon policy and location the photo was taken.

This is included so that you may voiceyour opinion which I may or may not take into consideration during the publication process.

This form is considered valid if emailed or signed and given by hand to anyone in the employ of Webb on the Web.  Questions can be emailed to as well as this form to cherriejwebb@gmail.com.

For further information, please visit http://www.cherriewebb.com/webb   Webb on the Web can be found by clicking on Personal Blog, “What is your passion” at http://afridigidiva.com/causes can be viewed by clicking on the appropriate button.

Thank you for your participation.

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Signature                   On this the _____day of _______2009

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 Printed signature (unless via email)

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Witness   

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