I certify that I am the one who took this photograph and I am not a professional. I understand that upon submission, this photograph and all of the copy and trademark rights associated with the photograph, become the property of the City of Coon Rapids. I hereby grant permission to the City of Coon Rapids to use this photograph at its discretion with no compensation or credit to me or to any of the subjects in the photograph. When the photograph is of identifiable people in a non-public place, I have obtained permission of those in the photograph to submit this photograph for use by the City of Coon Rapids.
Click the box to acknowledge that the data you supply on this form will be used to process this application. You are not legally required to provide this data, but the City will be unable to proceed without it. The data will constitute a public record.
Type your name to provide an electronic signature of permission.
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