Konocti Rod & Gun Club Photographic Contract

Photo Release Form

Date: _______________________________

Location:____________________________

I hereby consent to and authorize the use and reproduction, in print or electronic format by the Konocti Rod & Gun Club or anyone authorized by the Konocti Rod & Gun Club, of any and all photographs which have been taken on this day for any publicity purpose, without compensation. All images--electronic, negatives and positives, together with the prints, are owned by the Konocti Rod & Gun Club. I hereby acknowledge that I am 18 years of age or older and have read and understood the terms of this release.

Name/signature:_________________________________________

Address:_______________________________________________

Name of Minor:________________________________________

Parent or Guardian:______________________________________________

Konocti Rod & Gun Club P.O. Box 551 Lakeport, CA 95453 707-262-5652