Request Photo or Video Shoot
All outside requests for photos and videos must be submitted by filling out the brief photo request form below.
Full Name
First Name
Last Name
Title
E-mail
Phone Number
-
Area Code
Phone Number
Organization
Video, photos or both?
Photos
Videos
Preferred date(s) of shoot (list three options):
Preferred start time(s) of shoot:
Preferred end time(s) of shoot:
Location (please list exact location within the facility):
Who will need to be in the photographs/video (list all subjects needed):
If it is a video, will you need interviews with Cook Children’s staff or patients?
Yes
No
Are there specific shots you need?
Why do you need these photographs/video and how will they be used (please list every use)?
Have you selected a photographer? Who? Please provide contact info:
How many people will you be bringing?
Will Cook Children’s be mentioned on materials or website where photo/video is used? How? If so, will we be able to approve prior to release?
Will Cook Children’s have use of the photos/videos following the shoot?
Yes
No
Can Cook Children’s have access to the b-roll/raw footage of video?
Yes
No
Are there any restrictions to the usage?
Yes
No
How else will Cook Children’s benefit from the shoot?
Please attach any video and/or location release forms
Browse Files
This must be sent five business days prior to filming. It will be reviewed by our legal team.
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