Child Photography and Media Consent Form
Child Information
Child's Name
Date of Birth
Parent/Guardian Information
Parent/Guardian Name
Phone Number
Email Address
Consent
I give permission for photographs and videos of my child to be taken and used for the following purposes (check all that apply):
Website / Social Media
Internal Use
Promotional Materials
Other
Additional Information or Restrictions
I do NOT give permission for my child's photograph or video to be taken or used.
Signature of Parent/Guardian
Date