Social Media Photo Release Form

Social Media Photo Release Form
Name of Parent

First Name Last Name
Name of Student

First Name Last Name
Student Date of Birth

Month Day Year
Date
Phone Number

Area Code Phone Number
Student Gender
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Authorization, Release, and Consent
I authorize and grant First Farragut UMC permission to take my photos/videos at events I participate in with them. I grant First Farragut UMC permission to use my photos on Facebook, Twitter, Instagram, and other social media platform for posts and livestreams. I grant First Farragut UMC permission to use my photos on their website and promotional products. I allow First Farragut UMC to edit, alter, copy, or distribute the photos for social media advertising and marketing.
Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty:

Authorization, Release, and Consent