It is the policy of the University of Nebraska-Lincoln not to discriminate based upon age, race, ethnicity, color, national origin, gender, sex, pregnancy, disability, sexual orientation, genetic

information, veteran’s status, marital status, religion or political affiliation.

University of Nebraska-Lincoln Children’s CenterField Trip and Photograph Permission Form

Field Trips: I give my permission for the UNL Children’s Center staff to take my child on field trips outside the center. I understand that transportation for such excursions may be via walking, bus, or

car/van provided by the UNL Children’s Center.

________________________________ _______________________Parents Signature Date

Photographs: I give permission for the UNL Children’s Center staff to take and use photographs of my child for non-commercial, educational, and publicity purposes. I understand that staff can only regulate such a policy while my child is on the UNL Children’s Center premises and not while my child is outside

or on a field trip. I also understand that a parent or student who wishes to take photographs of the children will contact the Director or Lead Teacher prior to the specific event in order to obtain separate

permission from the parents of those children involved.

________________________________ _______________________Parents Signature Date

Personal Image Use

I hereby grant to the Board of Regents of the University of Nebraska, its componentcampuses, its representatives, employees, agents and assigns, the irrevocable and unrestrictedright to use, reproduce and publish photographs of me, including my image and likeness as

depicted therein, which are identified in Appendix "A" hereto, for editorial, trade, advertising orany other purpose and in any manner and medium; to alter the same without restriction, and to

copyright the same. I hereby release the University of Nebraska, its component campuses and itsRegents, officers, employees, agents, legal representatives and assigns from any and all claims,

actions and liability related to its use of said photographs.

IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby setstheir hand and seal the date written below.

Appendix A: University of Nebraska – Lincoln Children’s Center

Date: On-Going Signature ___________________________________