Photo & Video Permission Form

By submitting this form to Newport Public Library, I give permission to the Newport Public Library to use photo(s) or video footage of my minor child/ward to promote the Newport Public Library and/or Library sponsored events in print and/or in Newport Public Library's web presence. All fields are required.

Minor Child/Ward's Name

Minor Child/Ward's Age

Parent/Guardian's Name

Date

Street and apartment number (where applicable)
City, State and Zip Code

Phone Number

Email Address

Please input this code: