As a parent or guardian of a scout in Troop 828, I hereby request that no photographs of me be published on the Troop 828 website or related websites.

I understand that if any photograph of me does inadvertently appear on the Troop 828 website, because of my participation in a Troop activity, the photograph will be removed or edited to obscure my image, upon my request.

Signature  ________________________________________________

(Please print the information below.)

Name ___________________________________________________

Date  ____________________________

Revision date:  3/28/2003