Wolf Point Media
1239 West Farwell Ave.
Chicago, IL, 60626
Subject: permission to use photograph in the documentary “No Man Shall Protect Us”
I grant to Wolf Point Media, its representatives and employees the right to use photographs of me and my property in connection with the above-identified subject. I authorize Wolf Point Media, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Wolf Point Media may use such photographs of me with or without my name as illustration in the documentary “No Man Shall Protect Us”.
I have read and understand the above:
Printed name ______________________________
Organization Name (if applicable) __________________________