Chester County Government Forms

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Image Submission

  1. I hereby grant the County of Chester, it’s officials, representatives and employees permission to use the attached image on County of Chester websites, social media accounts , and other media outlets.

    I understand and agree that these materials will become the property of the County of Chester and will not be returned.

    I hereby irrevocably authorize the County of Chester to edit, alter, copy, exhibit, publish or distribute this image in print and/or electronically for purposes of publicizing and promoting Chester County. In addition, I waive any right to royalties, damages or other compensation arising or related to the use of the photograph.

    I have read this release before signing below and I fully understand the contents, meaning, and impact of this release and voluntarily consent to the submission and usage of the image I have provided to the County.*

  2. Leave This Blank:

  3. This field is not part of the form submission.