If you are submitting on behalf of your student(s), please be sure to verify all contact information.
For more information contact:
Claudine Polley 317-275-4391 or email@example.com (Fountain Square Branch)
Michelle Burke 317-275-4881 or firstname.lastname@example.org (Library Services Center)
The Indianapolis Public Library, in an effort to promote Library services and programs, requests your permission to use a photograph/videotape/audio recording of yourself, your child or legal ward in Library publications or productions, including, but not limited to, the Library's newsletter, annual report, television or video programming, web page, posters, brochures or other public displays.
Please read and sign below:
I agree to allow The Indianapolis Public Library to use a photograph/videotape/audio recording of myself, my child or legal ward for any of the above stated purposes. I understand that this agreement holds the Library harmless from any liability resulting from the use of these materials, and that there will be no compensation paid for the use now or in the future.