Informed Consent Form for Photographic/Video Documentation
Name of Participant:
Contact Information:
Purpose
This form seeks your consent to the use of photographic and/or video documentation.
Consent
I have read and understood the information provided to me regarding the use of photographs and/or video documentation. I give my consent for the capture and use of my image and/or voice for purposes including but not limited to documentation, educational, and promotional materials.
I understand that I can withdraw my consent at any time by notifying the organization in writing.
Date:
Signature of Participant
Name & Signature of Person Obtaining Consent