IMAGE USE CONSENT FORM | The Family Corner

Photo/Video Consent Form

Please take a moment to fill out the form.

First Name of Adult Participant (or Parent/Guardian

Last Name

Phone

Do you have children who may appear in our photos/videos?

Yes

Please list your child(ren)'s name(s), age(s) and relationship to you:

I confirm that I am the parent/legal guardian of the above-listed child(ren) and that I have the authority to grant this consent on their behalf.

I have read and understood the Image Use Terms and Conditions provided by THE FAMILY CORNER.

I grant permission to THE FAMILY CORNER, its representatives, and agents to capture, use, and distribute images and/or video recordings of myself and/or my child(ren) for lawful promotional, marketing, and awareness purposes.

I understand that these images may be used in print, digital, and social media formats, and may be edited or modified as necessary.

I understand that I may withdraw this consent at any time by contacting THE FAMILY CORNER in writing.

I agree to the image use terms & conditions provided by THE FAMILY CORNER.View terms of use

Your Signature

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Thanks for submitting!