Minor Photo/Video Consent Form

I hereby grant permission for the below-named minor to be photographed and/or filmed and for the resulting images and/or video to be used for the following purposes:

Minor's Full Name

Minor's Date of Birth

Parent/Guardian Name

Relationship to Minor

Contact Email

Consent Granted For

Photography

Video Recording

Distribution (Print/Online/Social Media)

Purpose/Project (if applicable)

Additional Notes

Parent/Guardian Signature

Date