Photo/Image Release Form Please enable JavaScript in your browser to complete this form.I hereby grant Therapeutic Riding of Tulsa (TROT), Silver Creek, and their representatives permission to take or have taken still and moving photographs and films, including television pictures of the above named rider and authorize TROT, Silver Creek, their advertising agencies, news media, and any other persons interested in this organization and its work, to use and reproduce the photographs, films, and pictures and to circulate and publicize them by all means including, but not limited to, the generality of the foregoing newspapers, television media, brochures, pamphlets, instructional material, books, and clinical material. *FirstLastFirst/Last Name of Rider's Parent/Guardian if under 18Signature of Rider or Parent/Guardian if under 18 *Clear SignatureToday's Date *Submit