HSCA Photo Release & Permission of Use Form

This Permission of Use relates to photographs or recordings taken during HSCA’s Sustainable Food Programming. HSCA and Fresh Routes may use these photos and/or recordings for promotional and communication purposes, including but not limited to: newsletter, e-news, HSCA and Fresh Routes social media channels, and Annual Report.

Please complete the form below

Name

First Name

Last Name

Email

I hereby consent to the publication of the material above which can include photograph(s), recordings and/or identifiable details to be included in HSCA and Fresh Routes Communications Material identified above and agree to visual photography or recording of myself or my child in conjunction therewith.

Yes