Complete a Release : CONTRIBUTE : Washington State Jewish Historical Society

Complete a Consent to Release

Have you participated in a WSJHS event, recording, or submitted material for a WSJHS project? Complete the form below to grant WSJHS permission to use your materials.

Questions? Email Marissa Hiller at archivist@wsjhs.org for assistance.

Name

First Name *

Last Name *

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Email (Required)

Phone Number (Required)

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Item Type(s)

Donation of photo or artifact
Written or recorded likeness in film or post
Exhibit
Publication
Other

Description of Items

Notes

Anything to add? Put it here!

TERMS OF USE

The Washington State Jewish Historical Society may use my provided information in all Washington Jewish Museum exhibits and in the Washington State Jewish physical and digital museum spaces including theWashington Jewish Lifecycles registry. I understand that all interview transcripts, recordings, photos, and other related items submitted or created during the curation of the exhibit(s) and/or program(s) become property of the WSJHS, and therefore can be used in online programs, theWashington Jewish Museum interactive digital museum, physical exhibit boards,Washington Jewish Lifecycles, videos, DVDs, books, social media, traveling exhibits, and other material related to theWashington Jewish Museum and/or Washington Jewish Lifecycles project(s).

Consent for Use

I agree to the above and acknowledge that, by submitting this form, I am granting WSJHS sole permission to use the included items.