I, the undersigned, am the parent/legal guardian of the minor named below. I authorize and give consent for the use of photographs and/or videos of my child during sports activities, events, and related functions for promotional, educational, or informational purposes by the organization, its representatives, and affiliated media.

Minor’s Name Team Name Parent/Guardian Name

Consent I give consent for my child's photograph/video to be used as described above.

Restrictions or Notes