I, _________________________________ certify that I am the parent or legal guardian of the minor named above, who appeared in ____________________________ photograph identified above, and have the right to represent, defend and protect the rights of this minor.
I hereby grant my permission for this photograph to be reprinted for my personal use and agree that Patuxent Publishing Company shall have no liability of any kind resulting from this reprinting. I further agree that Patuxent Publishing Company is the sole holder of rights to the photograph, and that no payments or royalties are due to me, the minor, or anyone else for this or any use of the photograph.
