Photo Release Form


By filling out this form and clicking Submit, I, the undersigned, do hereby grant permission to Kentucky Oral Health Coalition and Kentucky Youth Advocates to publicly use photograph(s) of myself and/or my minor child(ren). I understand that the images may be used in print publications, online publications, presentations, websites, videos, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.