PSA Image Release Form PSA Entry/Release Form PERMISSION FOR PSA TO USE IMAGES I hereby give permission for the Photographic Society of America (PSA) to display any of my images submitted through my camera club, Photo Adventures Camera Club, for use in PSA inter-club competitions. I certify that I am the copyright holder of the images. I hereby agree that this work is my original work created solely by me and does not infringe on the copyrights, trademarks, oral rights, rights of privacy/publicity or intellectual property rights of any person or party. I hereby give permission for the Photographic Society of America to display such images on the PSA's own website. I retain copyright of the image(s) and these images may not be used by PSA for any purpose other than stated above without my additional explicit written permission. The PSA will not directly or indirectly post these images on any other web sites such as social media sites without such written consent. This consent will remain in effect until revoked by me in writing to the club representative. First Name * Last Name * Email Address * Confirm Email Address * Date Signature * Clear reCAPTCHA Submit If you are human, leave this field blank.