Social Media Photo Release Form

Social Media Photo Release Form
Athlete's Name

First Name Last Name
Date of Birth

Month Day Year
Date
Phone Number

Area Code Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Authorization, Release, and Consent
Can we use your athlete's name?

Complete name First name Nickname Anonymous
I authorize and grant Jackets Youth Cheer (JYC) to take my photos regarding my experiences with them. I grant Jackets Youth Cheer to use my photos on Facebook, Twitter, Instagram, and other social media platforms. I allow Jackets Youth Cheer to edit, alter, copy, or distribute the photos for social media advertising and marketing. I agree that the photos belong to Jackets Youth Cheer}. I understand that I will not receive any monetary compensation.
Guardian Name
Guardian Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty:

Authorization, Release, and Consent