Section 1 of 3 in this document

Schaumburg Snapshot

Please complete the form in full in order to submit your photo(s) to the Village of Schaumburg.

For more information on the Schaumburg Snapshot photo submission program, visit the village’s website. Please avoid including text or watermarks on your images.

If you are under the age of 18, please have your parent or guardian complete this form with you. Your parent or guardian will be required to digitally sign this form on your behalf before you can complete submission.

Photographer's Age (optional)

Are you 18 years of age or older?

Yes

Note: Your parent or guardian will be required to sign and submit this form on your behalf.

Contact Phone Number

Section 2 of 3 in this document

Upload Photo(s) - Multiple Files Allowed

Photo or Album Title

Photo Location Detail

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

The photograph(s) I have submitted were captured by me. All people in my photograph(s) have given me permission to capture and use their image. I hereby grant the Village of Schaumburg permission to use my photograph(s) in any and all publications for government or non-government purposes, including the website and social media accounts, without payment or any other consideration in perpetuity. I hereby authorize the Village of Schaumburg to edit, alter, copy, exhibit, publish or distribute this photo. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph(s). I understand that my photograph(s) may be used with or without credit to my name and that the Village of Schaumburg is under no obligation to publish my photograph(s). I hereby hold harmless and release and forever discharge, indemnify and hold harmless the Village of Schaumburg, its official employees and representatives from all claims, demands, and causes of action which I, my estate or any persons acting on my or my estate’s behalf may have or may have by reason of this authorization. I have read this release, and I fully understand the contents, meaning, and impact of this release.

Schaumburg Snapshot

Photographer's Full Name

Are you 18 years of age or older?

Your Parent/Guardian's Full Name

Upload Photo(s) - Multiple Files Allowed

Sign Here