PHOTO CONSENT FORM

 

 

Dear Parents,

 

We take photographs (and may take video) of your child during their membership. Occasionally, we may use these photographs or video images for promotional activities, advertisements, or on our media sites.

 

Please review your options below regarding the use of your child’s photo or video image. Select the appropriate box and return this form.    

 

 

 

Child’s Name: ________________________________________________

 

Address: ____________________________________________________

 

Parent Name: _________________________________________________

 

Parent Signature: _______________________ Date: _________________

 

(please check the appropriate box)

 

 

 

I give my permission to DSRT Aquatics, to use photographs and/or video images of my child, without compensation, for promotional or advertising activities, or on the media sites. 

 

 

 

 

I do not want photos and/or video images of my child used for promotional or advertising activities, or on media sites.