Consent Statement

I give my permission for my child to be photographed and/or filmed. I grant full rights for these images and videos, including any edited, adapted, or reproduced versions, to be used in materials that support and promote the group’s mission. This may include, but is not limited to, use in printed and digital publicity, social media, press releases, and funding applications.

Name of Child

First Name

Last Name

Name of Child

First Name

Last Name

Name of Child

First Name

Last Name

Name of Parent / Guardian

First Name

Last Name

Email

Phone

(###)

###

####

Date

MM

DD

YYYY

I give my permission for my child to be photographed and/or filmed.

Signature

Type full name as signature

Child photo / video

consent form

Consent Statement