The Optimist Club
of Frederick, MD

Optimist Club of Frederick, Inc. Frederick Md.

Optimist Club of Frederick, Inc. Frederick Md

Photo Release Form - Adult

I,                                                                           , grant the Optimist Club of Frederick, Inc. my
                               (Print Name)

permission to use my picture for their public relations purposes. The Optimist Club of Frederick,

Inc. may use the photo in any publication they see fit.

Signature:                                                                                      

Date:                                                                                              

Address:                                                                                        

City, State, Zip:                                                                              

Phone number:                                                                          

E-mail:                                                                                      

The Optimist Club of Frederick uses photos of events to let the residents of Frederick County know the accomplishments of area youth.  In addition these photos may be used as parts of press releases, on www.frederickoptimist.org, the Frederick Optimist's web site, and in other publications to let Frederick County youth know the opportunities available to them through the Optimist Club.

Photo release form in Adobe Acrobat PDF format. Photo Release
(For a copy of the Adobe Acrobat Reader please go to www.Adobe.com)

Optimist Club of Frederick, Inc. Frederick Md

Optimist Club of Frederick, Inc. Frederick Md

Contact Information

Postal address:
Optimist Club of Frederick, Inc. 
P.O. Box 1398
Frederick, MD 21702